| Dr James Lowell Davidian, MD | |
|
1226 Ne 7th St, Grants Pass, OR 97526-1424 | |
| (541) 476-6636 | |
| (541) 476-6690 |
| Full Name | Dr James Lowell Davidian |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1226 Ne 7th St, Grants Pass, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912071036 | NPI | - | NPPES |
| GR0053850 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | G20649 (California) | Primary |
| Entity Name | Cascade Eyecare Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295758696 PECOS PAC ID: 7113999236 Enrollment ID: O20040810000394 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Lowell Davidian, MD 1226 Ne 7th St, Grants Pass, OR 97526-1424 Ph: (541) 476-6636 | Dr James Lowell Davidian, MD 1226 Ne 7th St, Grants Pass, OR 97526-1424 Ph: (541) 476-6636 |
Dr. Douglas R. Merritt, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1226 Ne 7th St, Grants Pass, OR 97526 Phone: 541-476-6636 Fax: 541-476-6690 | |
Matthew Guymon, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1226 Ne 7th St, Grants Pass, OR 97526 Phone: 810-606-5000 | |
Dr. Russell Leavitt, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1226 Ne 7th St, Grants Pass, OR 97526 Phone: 541-476-6636 Fax: 541-476-6690 | |
Dr. Mark Maffett, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1226 Ne 7th St, Grants Pass, OR 97526 Phone: 541-476-6636 Fax: 541-476-6690 | |
Rodney Derrick Leavitt, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1226 Ne 7th St, Grants Pass, OR 97526 Phone: 541-476-6636 Fax: 541-476-6690 |