Pacific Eye Group, PC

NPI #1275155350 in Beaverton, Oregon

Provider Information

NPI Number: 1275155350
Entity Type: Organization
Organization Name: Pacific Eye Group, PC
Primary Specialty: Optometrist
Enumeration Date: May 12, 2020
Last Updated: May 12, 2020

Practice Location

Address: 18070 NW EVERGREEN PKWY
City: Beaverton
State: Oregon
ZIP Code: 97006-7451
Phone: (503) 645-5076

Authorized Official

Name: DOLSIE MCDONALD
Title: CREDENTIALING MANAGER
Phone: (726) 444-4078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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