NPI 1508037607
Double Vision INC
Practice location
- Address
- 13180 SE 169th Ave STE 104, Happy Valley, OR 97086
- Phone
- (503) 698-2375
- Fax
- (503) 698-3398
- Mailing address
- 13180 SE 169th Ave STE 104, Happy Valley, OR 97086-8727
Authorised official
- Name
- William B Berk
- Title
- Owner
- Phone
- (503) 698-2375
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1508037607
- Entity type
- Organization
- NPI issued
- 17 Mar 2008
- Record last updated
- 14 Aug 2018
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.