Beaumont Vision, PC

NPI #1780881276 in Portland, Oregon

Provider Information

NPI Number: 1780881276
Entity Type: Organization
Organization Name: Beaumont Vision, PC
Primary Specialty: Optometrist
Enumeration Date: Jun 28, 2007
Last Updated: Sep 10, 2007

Practice Location

Address: 4331 NE FREMONT STREET
City: Portland
State: Oregon
ZIP Code: 97213
Phone: (503) 331-3937

Authorized Official

Name: DR. JOHN R LEWIS, OD
Title: OPTOMETRIST
Phone: (503) 331-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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