Optik Pdx LLC

NPI #1649560426 in Portland, Oregon

Provider Information

NPI Number: 1649560426
Entity Type: Organization
Organization Name: Optik Pdx LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 13, 2011
Last Updated: Apr 13, 2011

Practice Location

Address: 3838 N MISSISSIPPI AVE
City: Portland
State: Oregon
ZIP Code: 97227-1161
Phone: (503) 206-3937

Authorized Official

Name: DR. EZRA ATIKUNE, O.D.
Title: MEMBER/OPTOMETRIST
Phone: (503) 206-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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