NPI | 1801076542 |
---|---|
Doing Business As | BEAVERTON VISION WORLD |
Entity Type | Organization |
Authorized Contact | IRENE ERNESTINA OLIVIERI-HARRIS Corporate Secretary/Business Manage 503-526-9697 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1863t) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2021-09-01 |