Yudcovitch, Lorne
Yudcovitch, Lorne is an individual health care provider with primary practice located at 2043 College Way , Forest Grove OR 97116-1756. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Yudcovitch, Lorne can be contacted via phone (503) 352-2781.Contact Information
Primary practice address
2043 College Way
Forest Grove OR 97116-1756
Phone: (503) 352-2781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2588AT | Oregon |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2588AT | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2588AT | Oregon |
Profile Details
| NPI number | 1487645586 |
|---|---|
| LBN Legal business name | Yudcovitch, Lorne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Apr 13th, 2020 - about 4 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 | 1487645586 | NPPES |
| Oregon | MEDICAID | 168366 | |
| Oregon | Other | 300200803 | |
| Oregon | Other | 2588AT | |
| Oregon | Other | 5255690001 | |
| Oregon | Other | 831474004 |
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