NPI 1326030883 · live from the CMS NPI Registry
Brett Agost, O.D.
Optometrist in Gresham, OR. National Provider Identifier 1326030883, active.
NPI record
| NPI | 1326030883 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 125 Nw Miller, Gresham, OR 97030 |
| Practice phone | 503-665-3813 |
| Enumerated | August 19, 2005 |
| Last updated | July 28, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 2497t (OR) |
| Optometrist primary | 152W00000X | 2497ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.