NPI 1447306360 · live from the CMS NPI Registry
Nancy Brock, O.D.
Optometrist in Happy Valley, OR. National Provider Identifier 1447306360, active.
NPI record
| NPI | 1447306360 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 13180 Se 169th Ave Ste 104, Happy Valley, OR 97086 |
| Practice phone | 503-698-2375 |
| Enumerated | January 25, 2007 |
| Last updated | March 26, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Pediatrics | 152WP0200X | 2628ATI (OR) |
| Optometrist primary | 152W00000X | 2826ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.