NPI 1962584441 · live from the CMS NPI Registry
Carkner Family Vision Center
Optometrist in Portland, OR. National Provider Identifier 1962584441, active.
NPI record
| NPI | 1962584441 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1775 North East 39th Avenue, Portland, OR 97212 |
| Practice phone | 503-288-6181 |
| Mailing address | 1775 North East 39 Th Avenue, Portland, OR 97212 |
| Enumerated | October 20, 2006 |
| Last updated | January 10, 2008 |
| Authorized official | Jeffry Carkner, Optometrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.