The Eye Studio, Pc

NPI 1235458274 - Optometrist - 152W00000X

NPI Details
NPI 1235458274
Enumeration Date 05/28/2010
Last Updated 05/28/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TINA P TINA
Position PRESIDENT/OPTOMETRIST
Phone (503) 219-0023
Fax (503) 219-0024
Practice Location
339 NW 9TH AVE
PORTLAND OR, 97209-3306, US
Phone (503) 219-0023
Fax (503) 219-0024
Business Location
339 NW 9TH AVE
PORTLAND OR, 97209-3306, US
Phone (503) 219-0023
Fax (503) 219-0024
Toxanomy
Taxonomy Code 152W00000X
License State Oregon
License Number 3293AT
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According to our database, The Eye Studio, Pc NPI is 1235458274, taxonomy code is 152W00000X and license number is 3293AT, license state is located at Oregon. The Eye Studio, Pc physically located at 339 Nw 9th Ave, Portland OR, 97209-3306. NPI Number 1033115704 has the healthcare provider type.

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1235458274 NPI number is provided on an as is basis without warranty of any kind. 1235458274 is maintained by the National Plan & Provider Enumeration System. The contents of The Eye Studio, Pc are for informational purposes only.