| Broadway Vision World | |
|
1962 Sw Broadway, Portland, OR 97201-6710 | |
| (503) 223-6655 | |
| (503) 233-6657 |
| Full Name | Broadway Vision World |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1962 Sw Broadway, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295915700 | NPI | - | NPPES |
| 013354 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1863T (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Vision World Po Box 108, Beaverton, OR 97075-0108 Ph: (503) 223-6655 | Broadway Vision World 1962 Sw Broadway, Portland, OR 97201-6710 Ph: (503) 223-6655 |
Mrs. Ayla Jade Himmelsbach, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7826 Sw Capitol Hwy, Portland, OR 97219 Phone: 503-224-7788 | |
Steven J. Clouse, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2609 Se Clinton St, Portland, OR 97202 Phone: 503-238-1139 Fax: 503-235-6574 | |
Hendrix & Mcguire Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4542 Ne Martin Luther King Jr Blvd, Portland, OR 97211 Phone: 503-228-2154 Fax: 503-228-4694 | |
Dr. Larry E Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Ste 106, Portland, OR 97266 Phone: 503-653-1442 | |
Dr. Kim M Clark & Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12000 Se 82nd Avenue, #2012, Portland, OR 97266 Phone: 503-652-6001 Fax: 503-652-6012 | |
Dr. Laura Mae Armstrong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2021 Ne Alberta St, Portland, OR 97211 Phone: 503-384-2489 Fax: 503-379-9488 | |
Dr. Hayden Minh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8315 Se Stark St, Portland, OR 97216 Phone: 503-282-3070 Fax: 503-287-3482 |