Forest Grove Medical PC
NPI 1154691830ActiveOrganization· Optometrist· Forest Grove, OR
Optometrist in Forest Grove, Oregon, registered in NPPES in January 2012. The authorized official on file is Brad C. Richardson, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154691830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2012 |
| Last updated in NPPES | Jan 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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