| Eye Care Group Of Southern Oregon, Llc | |
| 1022 Nw 6th St, Grants Pass, OR 97526-1114 | |
| (541) 476-4545 | |
| (541) 479-5985 | 
| Full Name | Eye Care Group Of Southern Oregon, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 1022 Nw 6th St, Grants Pass, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306988787 | NPI | - | NPPES | 
| 005729 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | Jason K Bates | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1407891401 PECOS PAC ID: 5991710980 Enrollment ID: I20060214000084 | 
| Provider Name | Scott M Walters | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1649381906 PECOS PAC ID: 1355378142 Enrollment ID: I20060214000193 | 
| Provider Name | Jeffrey S Pelson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1578567244 PECOS PAC ID: 2567477425 Enrollment ID: I20060214000276 | 
| Provider Name | Daniel J Vidlak | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1477648772 PECOS PAC ID: 6709813595 Enrollment ID: I20060214000338 | 
| Provider Name | James F Adamek | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1568660199 PECOS PAC ID: 7113014044 Enrollment ID: I20071024000543 | 
| Provider Name | Maisha Bonnie Langella | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1104116532 PECOS PAC ID: 6406005024 Enrollment ID: I20150316001490 | 
| Provider Name | Angela M Dedionisio | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1417339359 PECOS PAC ID: 1658651302 Enrollment ID: I20190214000445 | 
| Provider Name | Kiana Marie Lambert | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1124864095 PECOS PAC ID: 5395282446 Enrollment ID: I20240807000317 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eye Care Group Of Southern Oregon, Llc 1022 Nw 6th St, Grants Pass, OR 97526-1114 Ph: (541) 476-4545 | Eye Care Group Of Southern Oregon, Llc 1022 Nw 6th St, Grants Pass, OR 97526-1114 Ph: (541) 476-4545 | 
| Dr. Matthew Scot Richardson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 853 Ne A St, Grants Pass, OR 97526 Phone: 541-474-2788 Fax: 541-474-0516 | |
| Maisha Langella, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1226 Ne 7th St, Grants Pass, OR 97526 Phone: 541-476-6636 | |
| Kenji Hamada, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1022 Nw 6th Street, Grants Pass, OR 97526 Phone: 541-476-4545 Fax: 541-479-5985 | |
| Kiana Marie Lambert, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1022 Nw 6th St, Grants Pass, OR 97526 Phone: 541-476-4545 | |
| Napier & Napier Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1891 Ne 7th St, Grants Pass, OR 97526 Phone: 541-237-0030 Fax: 541-237-0031 | |
| Dr. April Napier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1891 Ne 7th St, Grants Pass, OR 97526 Phone: 541-237-0030 |