NPI 1164292017 · live from the CMS NPI Registry
Therese Bui
Optometrist in Salem, OR. National Provider Identifier 1164292017, active.
NPI record
| NPI | 1164292017 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2400 Lancaster Dr Ne, Salem, OR 97305 |
| Practice phone | 800-813-2000 |
| Mailing address | 7820 S 115th Pl, Seattle, WA 98178 |
| Enumerated | January 3, 2024 |
| Last updated | January 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 0000 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.