NPI 1750331880 · live from the CMS NPI Registry
Canby Eyecare INC
Optometrist in Canby, OR. National Provider Identifier 1750331880, active.
NPI record
| NPI | 1750331880 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 364 N Ivy St, Canby, OR 97013 |
| Practice phone | 503-266-4847 |
| Enumerated | May 11, 2006 |
| Last updated | November 30, 2007 |
| Authorized official | Donald Chase, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1200ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.