MEDICARE: COLUMBIAN EYECARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1247ATI	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083625735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIAN EYECARE, LLC

Provider Business Mailing Address
First Line	:	1175 ROYAL AVENUE SUITE A
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-6122
Country	:	US
Telephone Number	:	541-772-9990
Fax Number	:	541-772-5003

Provider Business Practice Location Address
First Line	:	1175 ROYAL AVENUE SUITE A
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-6122
Country	:	US
Telephone Number	:	541-772-9990
Fax Number	:	541-772-5003

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICHARD W RIPPER
Credential	:	O.D.
Telephone Number	:	541-772-9990

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	09/08/2008

Similar Medicare Providers

1710111968 — AFFINITY HEALTH CARE, LLC
Practice Location Address:

2708 S MEDFORD DR
LUFKIN, TX
75901-6122

Practice Phone: 409-383-1400
Practice Fax: 888-659-2676

1568766962 — AFFINITY HOSPICE LLC
Practice Location Address:

2708 S MEDFORD DR
LUFKIN, TX
75901-6122

Practice Phone: 936-639-2626
Practice Fax: 936-639-2629

1609119080 — AFFINITY HOSPICE, LLC
Practice Location Address:

2708 S MEDFORD DR
LUFKIN, TX
75901-6122

Practice Phone: 936-639-2626
Practice Fax: 936-639-2629

1821548009 — ALL ABOUT CARING, LLC
Practice Location Address:

2718 S MEDFORD DR STE A
LUFKIN, TX
75901-6122

Practice Phone: 936-899-7188
Practice Fax: 936-899-7192

1184587750 — AZUCENA MERAZ
Practice Location Address:

2762 HIGH CEDARS LN
MEDFORD, OR
97504-3416

Practice Phone: 458-226-6282
Practice Fax:

1295613388 — JERRY UGBO PA-C
Practice Location Address:

691 MURPHY RD STE 107
MEDFORD, OR
97504-4311

Practice Phone: 541-789-6460
Practice Fax: 541-789-6461

Directions to “COLUMBIAN EYECARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.