Organization
COLUMBIAN EYECARE, LLC
Active
Other names
Columbian Eyecare,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W RIPPER O.D. (OWNER)
(541) 772-9990
Entity
Organization
Contact information
Practice address
1175 ROYAL AVENUE SUITE A, MEDFORD, OR 97504-6122
(541) 772-9990
(541) 772-5003
Mailing address
1175 ROYAL AVENUE SUITE A, MEDFORD, OR 97504-6122
(541) 772-9990
(541) 772-5003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1247ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276214
—
OR
Enumeration date
08/10/2006
Last updated
09/08/2008
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