Organization
ROGUE FAMILY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SCOT RICHARDSON OD (PRESIDENT, OPTOMETRIC PHYSICIAN)
(541) 474-2788
Entity
Organization
Contact information
Practice address
853 NE A ST, GRANTS PASS, OR 97526
(541) 218-9966
Mailing address
853 NE A ST, GRANTS PASS, OR 97526-2211
(541) 218-9966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2980ATI
OR
152WP0200X
Pediatric Optometrist
2980ATI
OR
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
2980ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2980ATI
OREGON BOARD OF OPTOMETRY
OR
Enumeration date
07/20/2018
Last updated
02/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us