Eli Richardson, OD in Forest Grove, OR - Medicare Optometrist Provider

Eli Richardson, OD is a medicare enrolled "Optometrist" provider in Forest Grove, Oregon. His current practice location is 2804 19th Ave, Forest Grove, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 357-2020.

Eli Richardson is licensed to practice in Oregon (license number 3381ATI) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578877056.

Contact Information

	Eli Richardson, OD
	2804 19th Ave, Forest Grove, OR 97116-2625
	(503) 357-2020
	(503) 357-6995

Map and Direction

Healthcare Provider's Profile

Full Name	Eli 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.

NPI Data:

NPI Number: 1578877056
Provider Enumeration Date: 07/27/2010
Last Update Date: 02/29/2012

Medicare PECOS Information:

PECOS PAC ID: 7517082118
Enrollment ID: I20100920001026

Medical Identifiers

Medical identifiers for Eli Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578877056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3381ATI (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eli Richardson allows following entities to bill medicare on his behalf.

Provider Name	Forest Grove Family Eye Care Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124332069 PECOS PAC ID: 6709901309 Enrollment ID: O20100920001005

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eli Richardson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Eli Richardson, OD Po Box 847, Forest Grove, OR 97116-0847 Ph: (503) 357-2020	Eli Richardson, OD 2804 19th Ave, Forest Grove, OR 97116-2625 Ph: (503) 357-2020

Reviews and Comments

Optometrist in Forest Grove, OR

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

Eli Richardson, OD - Medicare Optometrist in Forest Grove, OR