Broadway Vision World

NPI #1295915700 in Portland, Oregon

Provider Information

NPI Number: 1295915700
Entity Type: Organization
Organization Name: Broadway Vision World
Primary Specialty: Optometrist
Enumeration Date: Nov 13, 2007
Last Updated: Nov 13, 2007

Practice Location

Address: 1962 SW BROADWAY
City: Portland
State: Oregon
ZIP Code: 97201-6710
Phone: (503) 223-6655

Authorized Official

Name: DR. KAMELIA MASSIH, OD
Title: CEO
Phone: (503) 223-6655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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