Oizu Optic LLC

NPI #1295158301 in Portland, Oregon

Provider Information

NPI Number: 1295158301
Entity Type: Organization
Organization Name: Oizu Optic LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 24, 2014
Last Updated: Jan 24, 2014

Practice Location

Address: 4133 SE DIVISION ST
City: Portland
State: Oregon
ZIP Code: 97202-1646
Phone: (503) 444-7639

Authorized Official

Name: DR. SAMUEL ADELMAN, O.D.
Title: OPTOMETRIST
Phone: (503) 660-3093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Sports Vision — Sports Vision	152WS0006X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist - Occupational Vision — Occupational Vision	152WX0102X
Optometrist	152W00000X	Primary

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