NPI 1073180956 · live from the CMS NPI Registry
Carli Anne Bunn, OD
Optometrist in Corvallis, OR. National Provider Identifier 1073180956, active.
NPI record
| NPI | 1073180956 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2400 Nw Century Dr, Corvallis, OR 97330 |
| Practice phone | 541-752-4622 |
| Enumerated | June 8, 2021 |
| Last updated | June 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | ATI4572 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.