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748 State St, Medford, OR 97504-8473 | |
(541) 842-2020 | |
(541) 842-2022 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 748 State St, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568422053 | NPI | - | NPPES |
286236 | Medicaid | OR | |
CK6077 | Other | OR | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Jeffrey Rinkoff |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1811962400 PECOS PAC ID: 2860486248 Enrollment ID: I20080310000494 |
Provider Name | Adam Christopher Aufderheide |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1982915344 PECOS PAC ID: 8729205646 Enrollment ID: I20160725002162 |
Provider Name | Lisa Louise Leishman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932467198 PECOS PAC ID: 4587898432 Enrollment ID: I20230711003210 |
Mailing Address | Practice Location Address |
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748 State St, Medford, OR 97504-8473 Ph: (541) 842-2020 | 748 State St, Medford, OR 97504-8473 Ph: (541) 842-2020 |