Sunset Eye Clinic Llc

LBN: Sunset Eye Clinic Llc
Sunset Eye Clinic Llc is an health care organization with primary practice located at 1865 Nw 169Th Pl Suite 105, Beaverton OR 97006-7327. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Sunset Eye Clinic Llc can be contacted via phone (503) 533-8441, or through Lee, Kenny B via phone (503) 533-8441.

Contact Information

Primary practice address
1865 Nw 169Th Pl Suite 105 Beaverton OR 97006-7327
Phone: (503) 533-8441
Fax: (503) 533-8403
Website:
Map and Directions
Authorized official contact:
Name: Lee, Kenny B Doctor of Optometry (OD)
Phone: (503) 533-8441

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2877ATI Oregon

Profile Details

NPI number 1174549364
LBN Legal business name Sunset Eye Clinic Llc
DBA Doing business as
Authorized official Lee, Kenny B Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 28th, 2009 - about 16 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 1174549364 NPPES
Oregon MEDICAID 270841

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