Cornell Eyecare Group, INC

NPI #1982758868 in Portland, Oregon

Provider Information

NPI Number: 1982758868
Entity Type: Organization
Organization Name: Cornell Eyecare Group, INC
Primary Specialty: Optometrist
Enumeration Date: Jan 22, 2007
Last Updated: Sep 23, 2008

Practice Location

Address: 12955 NW CORNELL RD
City: Portland
State: Oregon
ZIP Code: 97229-5863
Phone: (503) 643-5556

Authorized Official

Name: DR. CHAD WAYNE LAWSON, O.D.
Title: PRESIDENT
Phone: (503) 643-5556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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