Wilsonville Vision Center

NPI 1073785671 - Optometrist - 152W00000X

NPI Details
NPI 1073785671
Enumeration Date 03/24/2008
Last Updated 03/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name J. RICHARD J. RICHARD
Position OWNER
Phone (503) 682-3234
Fax (503) 682-0414
Practice Location
29890 SW TOWN CENTER LOOP W
STE E
WILSONVILLE OR, 97070-9494, US
Phone (503) 682-3234
Fax (503) 682-0414
Business Location
29890 SW TOWN CENTER LOOP W
STE E
WILSONVILLE OR, 97070-9494, US
Phone (503) 682-3234
Fax (503) 682-0414
Toxanomy
Taxonomy Code 152W00000X
License State Oregon
License Number 2750
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According to our database, Wilsonville Vision Center NPI is 1073785671, taxonomy code is 152W00000X and license number is 2750, license state is located at Oregon. Wilsonville Vision Center physically located at 29890 Sw Town Center Loop W, Wilsonville OR, 97070-9494. NPI Number 1033115704 has the healthcare provider type.

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1073785671 NPI number is provided on an as is basis without warranty of any kind. 1073785671 is maintained by the National Plan & Provider Enumeration System. The contents of Wilsonville Vision Center are for informational purposes only.