Whalio Doctors

NPI 1083994867

Center for Ocular Prosthetics LLC

Organisation Ocularist Portland, OR

Practice location

Address
2456 NW Northrup St STE 1a, Portland, OR 97210-3253
Phone
(503) 229-8490
Fax
(503) 224-0740

Authorised official

Name
Christina N. Leitzel
Title
Ocularist/Owner
Phone
(503) 229-8490

Registered specialties (4)

Ocularist Primary
Eye and Vision Services Providers Taxonomy 156FX1700X
Customized Equipment (DME)
Suppliers Taxonomy 332BC3200X Licence 51680289 (OR)
Customized Equipment (DME)
Suppliers Taxonomy 332BC3200X
Prosthetic/Orthotic Supplier
Suppliers Taxonomy 335E00000X Licence 516802-89 (OR)

Registry record

NPI
1083994867
Entity type
Organization
NPI issued
24 Aug 2011
Record last updated
18 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.