NPI 1306446513 · live from the CMS NPI Registry
Ad Astra Optometry LLC
Optometrist in The Dalles, OR. National Provider Identifier 1306446513, active.
NPI record
| NPI | 1306446513 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 301 E 2nd St, The Dalles, OR 97058 |
| Practice phone | 541-769-1150 |
| Enumerated | October 27, 2020 |
| Last updated | January 11, 2022 |
| Authorized official | Jenessa Hartman, Owner |
| Other names | Sunflower Vision Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — |
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.