NPI 1255600763 · live from the CMS NPI Registry
All Family Vision LLC
Optometrist in Corvallis, OR. National Provider Identifier 1255600763, active.
NPI record
| NPI | 1255600763 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1597 Sw 53rd St, Corvallis, OR 97333 |
| Practice phone | 541-757-8844 |
| Enumerated | December 29, 2011 |
| Last updated | August 12, 2019 |
| Authorized official | Justin Heintz, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 3307ATI (OR) |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — |
| Optometrist primary | 152W00000X | 2515T (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.