NPI 1497743371 · live from the CMS NPI Registry
William Todd Briscoe, O.D.
Optometrist in West Linn, OR. National Provider Identifier 1497743371, active.
NPI record
| NPI | 1497743371 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 22400 S Salamo Rd, West Linn, OR 97068 |
| Practice phone | 503-722-7737 |
| Mailing address | 3985 S Roxbury Dr, West Linn, OR 97068 |
| Enumerated | October 13, 2005 |
| Last updated | February 20, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2822AT (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.