NPI 1891742722 · live from the CMS NPI Registry
John Michael Boyer, OD
Optometrist, Low Vision Rehabilitation in Portland, OR. National Provider Identifier 1891742722, active.
NPI record
| NPI | 1891742722 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist, Low Vision Rehabilitation 152WL0500X |
| Practice location | 3303 Sw Bond Ave, Portland, OR 97239 |
| Practice phone | 503-494-3098 |
| Mailing address | 2241 Lloyd Ctr, Portland, OR 97232 |
| Enumerated | May 27, 2006 |
| Last updated | July 29, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Low Vision Rehabilitation primary | 152WL0500X | OR 1265 ati (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.