NPI 1851362453 · live from the CMS NPI Registry
Mary Ann Button, OD
Optometrist in Lakeview, OR. National Provider Identifier 1851362453, active.
NPI record
| NPI | 1851362453 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 628 N 1st St, Ste C, Lakeview, OR 97630 |
| Practice phone | 541-947-3357 |
| Mailing address | 2640 Biehn St, Ste 3, Klamath Falls, OR 97601 |
| Enumerated | January 31, 2006 |
| Last updated | January 13, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2599ATI (OR) |
| Optometrist | 152W00000X | OPT11282TPA (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.