Tigard Vision World, P.C.
Optometrist in Tigard, OR. Organization (NPI-2).
NPI number1780972778
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1780972778
- Entity type
- Organization (NPI-2)
- Legal business name
- Tigard Vision World, P.C.
- Organization subpart
- No
- Enumeration date
- Jul 12, 2011
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1863T | OR | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Tigard Vision World (Doing Business As)
Practice location
9975 Sw Frewing StSuite 130
Tigard, OR 97223-5091
Phone 503-906-3596 · Fax 503-906-1014
Mailing address
9975 Sw Frewing StSuite 130
Tigard, OR 97223-5091
Phone 503-906-3596 · Fax 503-906-1014
Authorized official
Jeffrey Donald Harris
President
5037037451
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