NPI 1396908075 · live from the CMS NPI Registry
Shelly Rae Adams, O.D.
Optometrist in White City, OR. National Provider Identifier 1396908075, active.
NPI record
| NPI | 1396908075 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 8495 Crater Lake Hwy, White City, OR 97503 |
| Practice phone | 503-881-7992 |
| Enumerated | July 3, 2008 |
| Last updated | July 3, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3253ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.