On Sight Optical, Inc.

NPI #1003972225 in Portland, Oregon

Provider Information

NPI Number: 1003972225
Entity Type: Organization
Organization Name: On Sight Optical, Inc.
Primary Specialty: Optometrist
Enumeration Date: Dec 29, 2006
Last Updated: Oct 7, 2008

Practice Location

Address: 4542 NE MARTIN LUTHER KING JR BLVD
City: Portland
State: Oregon
ZIP Code: 97211-3346
Phone: (503) 228-2154

Authorized Official

Name: RHONDA MARIE NIENBURG
Title: PRESIDENT
Phone: (503) 228-2154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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