NPI 1972854222 · live from the CMS NPI Registry
Firas Omar Basha, O.D.
Optometrist in Vancouver, WA. National Provider Identifier 1972854222, active.
NPI record
| NPI | 1972854222 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 8101 Ne Parkway Dr Ste D2&D4, Vancouver, WA 98662 |
| Practice phone | 360-314-6900 |
| Mailing address | 11364 Se 82nd Ave, Suite 402, Happy Valley, OR 97086 |
| Enumerated | September 26, 2012 |
| Last updated | August 20, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 3533ATI (OR) |
| Optometrist primary | 152W00000X | OD60376580 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.