Bong, Charles
Bong, Charles is an individual health care provider with primary practice located at 1201 Se 223Rd Ave Ste 160 , Gresham OR 97030-2577. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bong, Charles can be contacted via phone (503) 492-2020.Contact Information
Primary practice address
1201 Se 223Rd Ave Ste 160
Gresham OR 97030-2577
Phone: (503) 492-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00651800 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | AT4555 | Oregon |
Profile Details
| NPI number | 1649690314 |
|---|---|
| LBN Legal business name | Bong, Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2014 |
| Last updated | Jun 14th, 2021 - about 3 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.
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