Pacific University Mobile Eyevan
LBN: Pacific University
Pacific University Mobile Eyevan is an health care organization with primary practice located at 2043 College Way , Forest Grove OR 97116-1797. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Ambulatory Health Care Facilities / Clinic/Center. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Pacific University can be contacted via phone (503) 352-2020, or through Downing, Lisa via phone (503) 352-2663.
Contact Information
Primary practice address
2043 College Way
Forest Grove OR 97116-1797
Phone: (503) 352-2020
Fax: (503) 352-2046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1386292852 |
|---|---|
| LBN Legal business name | Pacific University |
| DBA Doing business as | Pacific University Mobile Eyevan |
| Authorized official | Downing, Lisa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 28th, 2019 |
| Last updated | Nov 14th, 2023 - about 3 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 | 1386292852 | NPPES |
| Oregon | MEDICAID | 500778799 |
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