Gresham Vision Center, Inc

Optometrist · Gresham, OR

Organization Active NPI

NPI number 1619022076

Practice location

125 NW Miller Ave
Gresham, OR 97030-7225
Phone
(503) 665-3813

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NPI record

NPI
1619022076
Entity type
Organization (Type 2)
Enumeration date
January 24, 2007
Last updated
March 19, 2015
Organization subpart
Yes
Parent organization
R104410

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X — —

Authorized official

Name
Diane Gardner
Title
Office Manager
Phone
(503) 665-3813

About Gresham Vision Center, Inc

Gresham Vision Center, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 125 NW Miller Ave, Gresham, OR 97030-7225. The NPI number 1619022076 was assigned on January 24, 2007 and the record was last updated on March 19, 2015.

The authorized official for this organization is Diane Gardner, Office Manager.

Frequently asked questions

What is the NPI number of Gresham Vision Center, Inc?

The NPI number is 1619022076.

What is the phone number of Gresham Vision Center, Inc?

The phone number listed for the practice location is (503) 665-3813.

Where is Gresham Vision Center, Inc located?

125 NW Miller Ave, Gresham, OR 97030-7225.

What is the taxonomy code for Gresham Vision Center, Inc?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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