Active NPI
Rogue Family Eye Care
- Optometrist
- Grants Pass, OR
National Provider Identifier
1982181186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2980ATI
- Legal business name
- ROGUE FAMILY EYE CARE
- Practice address
- 853 NE a St
Grants Pass, OR 97526 - Phone
- (541) 218-9966
- NPI assigned
- Jul 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Scot Richardson, OD
- Title
- President, Optometric Physician
- Phone
- (541) 474-2788
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2980ATI | OR | Primary |
| Pediatric Optometrist | 152WP0200X | 2980ATI | OR | |
| Sports Vision Optometrist | 152WS0006X | |||
| Vision Therapy Optometrist | 152WV0400X | 2980ATI | OR |
Addresses
Primary practice location
853 NE a St
Grants Pass, OR 97526
Mailing address
853 NE a St
Grants Pass, OR 97526-2211
Phone (541) 218-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2980ATI | Other | OR | OREGON BOARD OF OPTOMETRY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | reception@roguefamilyeyecare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
853 NE A St
Grants Pass, OR 97526
Phone (541) 218-9966
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Grants Pass, OR
- NPI 1033211230
-
- Optometrist
- Grants Pass, OR
- NPI 1992703037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645660800000",
"number": "1982181186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 NE A ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262211",
"telephone_number": "541-218-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 NE A ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97526",
"telephone_number": "541-218-9966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGUE FAMILY EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-20",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "SCOT",
"authorized_official_title_or_position": "PRESIDENT, OPTOMETRIC PHYSICIAN",
"authorized_official_telephone_number": "541-474-2788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OR",
"license": "2980ATI",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "OR",
"license": "2980ATI",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "OR",
"license": "2980ATI",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF OPTOMETRY",
"identifier": "2980ATI",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "reception@roguefamilyeyecare.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "853 NE A St",
"city": "Grants Pass",
"state": "OR",
"country_code": "US",
"postal_code": "975262211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.