NPI 1285943365 · live from the CMS NPI Registry
Anthony Bistodeau, O.D.
Optometrist in Albany, OR. National Provider Identifier 1285943365, active.
NPI record
| NPI | 1285943365 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2715 Willetta St Sw, Suite B, Albany, OR 97321 |
| Practice phone | 541-926-5848 |
| Enumerated | October 6, 2010 |
| Last updated | March 29, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3515ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.