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NPI 1154520906 · live from the CMS NPI Registry

Andrew Jeremy Aker, O.D.

Optometrist in Portland, OR. National Provider Identifier 1154520906, active.

NPI record

NPI1154520906 Type 1 · individual
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location1962 Sw Broadway, Portland, OR 97201
Practice phone503-227-0632
Mailing address11525 Sw Bel Aire Ln, Beaverton, OR 97008
EnumeratedJuly 12, 2007
Last updatedJanuary 19, 2017
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000X3226ATI (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.