Organization Active NPI

RFH Optometric, LLC

  • Optometrist
  • Bend, OR
National Provider Identifier
1881838100
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3224AT Issued in OR
Legal business name
RFH OPTOMETRIC, LLC
Doing business as
Summit Family Eyecare
Practice address
1250 NE 3Rd St
Suite B100
Bend, OR 97701-3106
Phone
(541) 382-0103
Fax
(541) 385-6851
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raymond Fairbanks Hardy, O.D.NPI 1265623706
Title
Owner
Phone
(541) 526-1160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3224AT OR Primary

Addresses

Primary practice location

1250 NE 3Rd St
Suite B100
Bend, OR 97701-3106

Mailing address

2727 NW 13TH St
Redmond, OR 97756-1444
Phone (541) 526-1160

Other names 1

  • Summit Family Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090619000053 OR Part B Supplier - Clinic/Group Practice 0547311250 Receives reassigned benefits from 2 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1881838100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 NW 13TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561444",
            "telephone_number": "541-526-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NE 3RD ST",
            "address_2": "SUITE B100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013106",
            "telephone_number": "541-382-0103",
            "fax_number": "541-385-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RFH OPTOMETRIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "FAIRBANKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-526-1160",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3224AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.