Cornell Eyecare Group

LBN: Cornell Eyecare Group, Inc
Cornell Eyecare Group is an health care organization with primary practice located at 12955 Nw Cornell Rd , Portland OR 97229-5863. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cornell Eyecare Group, Inc can be contacted via phone (503) 643-5556, or through Lawson, Chad Wayne via phone (503) 643-5556.

Contact Information

Primary practice address
12955 Nw Cornell Rd Portland OR 97229-5863
Phone: (503) 643-5556
Fax: (503) 641-2515
Website:
Map and Directions
Authorized official contact:
Name: Lawson, Chad Wayne Doctor of Optometry (OD)
Phone: (503) 643-5556

Health care specialties

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

Profile Details

NPI number 1982758868
LBN Legal business name Cornell Eyecare Group, Inc
DBA Doing business as Cornell Eyecare Group
Authorized official Lawson, Chad Wayne Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Sep 23rd, 2008 - about 17 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 1982758868 NPPES
Oregon MEDICAID 18428-3

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