Hudson, Allan Jay

Hudson, Allan Jay is an individual health care provider with primary practice located at 404 Nw 5Th St , Redmond OR 97756-1627. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hudson, Allan Jay can be contacted via phone (541) 923-2221.

Contact Information

Primary practice address
404 Nw 5Th St Redmond OR 97756-1627
Phone: (541) 923-2221
Fax: (541) 923-3776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1541AT Oregon

Profile Details

NPI number 1639122526
LBN Legal business name Hudson, Allan Jay
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 20th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639122526 NPPES
Oregon MEDICAID 236083

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