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11020 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3007 | |
| (503) 789-6720 | |
| (503) 644-8330 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11020 Sw Beaverton Hillsdale Hwy, Beaverton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801076542 | NPI | - | NPPES |
| 500614131 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1863T (Oregon) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey Donald Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629046818 PECOS PAC ID: 6103857479 Enrollment ID: I20100526000646 |
| Provider Name | Olesya D Viestenz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841509924 PECOS PAC ID: 6507090370 Enrollment ID: I20131009002269 |
| Provider Name | Jannie Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609218163 PECOS PAC ID: 5496985350 Enrollment ID: I20140724000136 |
| Provider Name | Alexandra E Bavasi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720330061 PECOS PAC ID: 0042525321 Enrollment ID: I20150814014658 |
| Mailing Address | Practice Location Address |
|---|---|
11020 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3007 Ph: (503) 526-9697 | 11020 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3007 Ph: (503) 789-6720 |
Dr. Chelsea Nicole Territo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 18070 Nw Evergreen Pkwy, Beaverton, OR 97006 Phone: 971-348-3174 Fax: 503-439-8862 | |
Dr. Chalres Albert Mcbride, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12370 Sw 1st St, Beaverton, OR 97005 Phone: 503-644-3614 Fax: 503-646-4069 | |
Susannah Lee Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 11425 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 Phone: 503-643-5590 Fax: 503-643-2266 | |
Couple Of Eyes Vision Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2326 Nw Amberbrook Dr, Beaverton, OR 97006 Phone: 503-466-2966 Fax: 503-466-2008 | |
Yanda Li, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20551 Sw Tesoro Ct, Beaverton, OR 97003 Phone: 857-300-9141 | |
Sunset Eye Clinic Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006 Phone: 503-533-8441 Fax: 503-533-8403 |