NPI 1699733758 · live from the CMS NPI Registry
Greg Brophy, OD
Optometrist in Gresham, OR. National Provider Identifier 1699733758, active.
NPI record
| NPI | 1699733758 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2150 Ne Division St, Suite 101, Gresham, OR 97030 |
| Practice phone | 503-667-2424 |
| Enumerated | May 1, 2006 |
| Last updated | November 13, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1890T (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.