Broadway Vision World

LBN: Broadway Vision World
Broadway Vision World is an health care organization with primary practice located at 1962 Sw Broadway , Portland OR 97201-6710. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Broadway Vision World can be contacted via phone (503) 223-6655, or through Massih, Kamelia via phone (503) 223-6655.

Contact Information

Primary practice address
1962 Sw Broadway Portland OR 97201-6710
Phone: (503) 223-6655
Fax: (503) 233-6657
Website:
Map and Directions
Authorized official contact:
Name: Massih, Kamelia Doctor of Optometry (OD)
Phone: (503) 223-6655

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1863T Oregon

Profile Details

NPI number 1295915700
LBN Legal business name Broadway Vision World
DBA Doing business as
Authorized official Massih, Kamelia Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Nov 13th, 2007 - about 18 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 1295915700 NPPES
Oregon MEDICAID 013354

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