Oizu Optic Llc

NPI 1295158301 - Optometrist - 152WC0802X

NPI Details
NPI 1295158301
Enumeration Date 01/24/2014
Last Updated 01/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SAMUEL SAMUEL
Position OPTOMETRIST
Phone (503) 444-7639
Fax (503) 972-1593
Practice Location
4133 SE DIVISION ST
PORTLAND OR, 97202-1646, US
Phone (503) 444-7639
Fax (503) 972-1593
Business Location
4133 SE DIVISION ST
PORTLAND OR, 97202-1646, US
Phone (503) 444-7639
Fax (503) 972-1593
Toxanomy
Taxonomy Code 152WC0802X
License State Oregon
License Number 3462ATI
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According to our database, Oizu Optic Llc NPI is 1295158301, taxonomy code is 152WC0802X and license number is 3462ATI, license state is located at Oregon. Oizu Optic Llc physically located at 4133 Se Division St, Portland OR, 97202-1646. NPI Number 1033115704 has the healthcare provider type.

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1295158301 NPI number is provided on an as is basis without warranty of any kind. 1295158301 is maintained by the National Plan & Provider Enumeration System. The contents of Oizu Optic Llc are for informational purposes only.