Knutson, Eric H
Knutson, Eric H is an individual health care provider with primary practice located at 1505 Nw Harrison Blvd , Corvallis OR 97330-5816. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Knutson, Eric H can be contacted via phone (541) 754-6222.Contact Information
Primary practice address
1505 Nw Harrison Blvd
Corvallis OR 97330-5816
Phone: (541) 754-6222
Fax: (541) 757-2055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1046ATI | Oregon |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1046ATI | Oregon |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1046ATI | Oregon |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1046ATI | Oregon |
Profile Details
| NPI number | 1982679114 |
|---|---|
| LBN Legal business name | Knutson, Eric H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Dec 30th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982679114 | NPPES |
| Oregon | Other | 1046ATI | PIN# |
| Oregon | Other | 055502001 | PIN# |
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