NPI | 1689914400 |
---|---|
Doing Business As | PORTLAND EYE CARE |
Entity Type | Organization |
Authorized Contact | SAMUEL EDWARD ADELMAN Member 971-263-0495 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3462ATI) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR 3462ATI) |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OR 3462ATI) | |
152WP0200X Optometrist, Pediatrics (Licence: OR 3462ATI) | |
152WS0006X Optometrist, Sports Vision (Licence: OR 3462ATI) | |
152WV0400X Optometrist, Vision Therapy (Licence: OR 3462ATI) | |
152WX0102X Optometrist, Occupational Vision (Licence: OR 3462ATI) | |
Enumeration Date | 2013-02-15 |
Last Update Date | 2013-02-15 |