Agost, Brett
Agost, Brett is an individual health care provider with primary practice located at 125 Nw Miller , Gresham OR 97030. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Agost, Brett can be contacted via phone (503) 665-3813.Contact Information
Primary practice address
125 Nw Miller
Gresham OR 97030
Phone: (503) 665-3813
Fax: (503) 492-2313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2497T | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2497ATI | Oregon |
Profile Details
| NPI number | 1326030883 |
|---|---|
| LBN Legal business name | Agost, Brett |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 28th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326030883 | NPPES |
| Oregon | MEDICAID | 120167 |
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