Abc Vison Source Aloha

LBN: Abc Optometric Pc
Abc Vison Source Aloha is an health care organization with primary practice located at 2991 Se 75Th Ave , Hillsboro OR 97123-6210. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Abc Optometric Pc can be contacted via phone (503) 649-7566, or through Hester, Michael via phone (503) 473-8039.

Contact Information

Primary practice address
2991 Se 75Th Ave Hillsboro OR 97123-6210
Phone: (503) 649-7566
Fax: (503) 649-0123
Website:
Map and Directions
Authorized official contact:
Name: Hester, Michael
Phone: (503) 473-8039

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2784ATI Oregon
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1285824417
LBN Legal business name Abc Optometric Pc
DBA Doing business as Abc Vison Source Aloha
Authorized official Hester, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Nov 5th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285824417 NPPES
Oregon MEDICAID 226366

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