NPI | 1649560426 |
---|---|
Doing Business As | OPTIK PDX |
Entity Type | Organization |
Authorized Contact | EZRA ATIKUNE Member/O PT Ometrist 503-206-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3344AT) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2011-04-13 |