NPI 1609268051 · live from the CMS NPI Registry
Bernard P Conway OD PC
Optometrist in Portland, OR. National Provider Identifier 1609268051, active.
NPI record
| NPI | 1609268051 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 11805 Nw Cedar Falls Dr, Suite 105, Portland, OR 97229 |
| Practice phone | 503-747-0265 |
| Mailing address | 700 Nw 118th Ave, No. 103, Portland, OR 97229 |
| Enumerated | February 23, 2015 |
| Last updated | June 9, 2015 |
| Authorized official | Bernard Conway, President |
| Other names | Specs 20/20 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.