| Forest Grove Family Eye Care, P.c. | |
|
2804 19th Ave, Forest Grove, OR 97116-2625 | |
| (503) 357-2020 | |
| (503) 357-6995 |
| Full Name | Forest Grove Family Eye Care, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2804 19th Ave, Forest Grove, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124332069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3381ATI (Oregon) | Primary |
| Provider Name | Eli Richardson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578877056 PECOS PAC ID: 7517082118 Enrollment ID: I20100920001026 |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Grove Family Eye Care, P.c. Po Box 847, Forest Grove, OR 97116-0847 Ph: (503) 357-2020 | Forest Grove Family Eye Care, P.c. 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 |