NPI 1871509653 · live from the CMS NPI Registry
Ezra Atikune, O.D.
Optometrist in Beaverton, OR. National Provider Identifier 1871509653, active.
NPI record
| NPI | 1871509653 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 12370 Sw 1st St, Beaverton, OR 97005 |
| Practice phone | 503-644-3614 |
| Enumerated | July 31, 2006 |
| Last updated | April 21, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3344AT (OR) |
| Optometrist | 152W00000X | 046-009105 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.