Organization
CLOYD FAMILY VISION LLC
Active
Other names
Riverside Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES G CLOYD O.D. (MEMBER)
(541) 776-3718
Entity
Organization
Contact information
Practice address
709 S RIVERSIDE AVE, MEDFORD, OR 97501-7837
(541) 776-3718
(541) 776-5928
Mailing address
709 S RIVERSIDE AVE, MEDFORD, OR 97501-7837
(541) 776-3718
(541) 776-5928
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1754ATI
OR
152W00000X
Optometrist
1982ATI
OR
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002453
BLUECROSS BLUESHIELD OR
OR
05
—
080064
—
OR
01
—
4003592
HMO OREGON
OR
01
—
O5189
PACIFIC SOURCE HEALTH PLA
OR
Enumeration date
05/24/2005
Last updated
02/14/2008
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