NPI 1326030883

Brett Agost, OD

Practitioner Optometrist Gresham, OR

Practice location

Address: 125 NW Miller, Gresham, OR 97030
Phone: (503) 665-3813
Fax: (503) 492-2313

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2497ATI (OR)

Other Optometrist providers in Oregon →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2497T (OR)

Registry record

NPI: 1326030883
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2005
Record last updated: 28 Jul 2010

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.