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Contact Information

CLOYD FAMILY VISION LLC
709 S RIVERSIDE AVE
MEDFORD, OR97501-7837
 Phone: 541-776-3718
 Fax: 541-776-5928
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CLOYD FAMILY VISION LLC · (Female)

NPI # 1336142140
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2005
Last updated 02/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 1754ATI
  • OR License # 1982ATI
  • OR Medicaid 080064
  • OR Other 002453 BLUECROSS BLUESHIELD OR
  • OR Other 4003592 HMO OREGON
  • OR Other O5189 PACIFIC SOURCE HEALTH PLA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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