Beaverton Vision World
LBN: Jd Harris Pc
Beaverton Vision World is an health care organization with primary practice located at 11020 Sw Beaverton Hillsdale Hwy , Beaverton OR 97005-3007. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Jd Harris Pc can be contacted via phone (503) 789-6720, or through Olivieri-Harris, Irene Ernestina via phone (503) 526-9697.
Contact Information
Primary practice address
11020 Sw Beaverton Hillsdale Hwy
Beaverton OR 97005-3007
Phone: (503) 789-6720
Fax: (503) 644-8330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1863T | Oregon |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1801076542 |
|---|---|
| LBN Legal business name | Jd Harris Pc |
| DBA Doing business as | Beaverton Vision World |
| Authorized official | Olivieri-Harris, Irene Ernestina |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Sep 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801076542 | NPPES |
| Oregon | MEDICAID | 500614131 |
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