Dr Benjamin Pon, OD | |
1006 Lloyd Ctr, Portland, OR 97232-1266 | |
(503) 282-9752 | |
Not Available |
Full Name | Dr Benjamin Pon |
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Gender | Male |
Speciality | Optometrist |
Location | 1006 Lloyd Ctr, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851944656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4479 (Oregon) | Primary |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Provider Name | Pacific Eye Group Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831656925 PECOS PAC ID: 1355682246 Enrollment ID: O20190402001264 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Pon, OD 1926 W Burnside St Unit 1314, Portland, OR 97209-2081 Ph: (916) 838-6381 | Dr Benjamin Pon, OD 1006 Lloyd Ctr, Portland, OR 97232-1266 Ph: (503) 282-9752 |
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 |