Dr Levi Richardson, OD | |
2804 19th Ave, Forest Grove, OR 97116-2625 | |
(503) 357-2020 | |
(503) 357-6995 |
Full Name | Dr Levi Richardson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2804 19th Ave, Forest Grove, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932839180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ATI4634 (Oregon) | Primary |
Provider Name | Richardson Eyecare Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780305797 PECOS PAC ID: 2365819661 Enrollment ID: O20221028002089 |
Mailing Address | Practice Location Address |
---|---|
Dr Levi Richardson, OD 2804 19th Ave, Forest Grove, OR 97116-2625 Ph: (503) 357-2020 | Dr Levi Richardson, OD 2804 19th Ave, Forest Grove, OR 97116-2625 Ph: (503) 357-2020 |
Shannon Seymour, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2202 | |
Dr. Kelvin Kiu Wing So, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-880-1381 | |
Dr. Beth Toshiko Kinoshita, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-3140 Fax: 503-352-2929 | |
Dr. Shannon Cathleen Lutz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2208 | |
Dr. Aldrin Marcus Santamaria, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2020 | |
Jing Huang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Pacific University Optometry College, Forest Grove, OR 97116 Phone: 925-698-7120 | |
Timothy Allen Speck, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2144 Hawthorne St, Apt 56, Forest Grove, OR 97116 Phone: 217-416-9452 |