Cornell Eyecare Group
LBN: Cornell Eyecare Group, Inc
Cornell Eyecare Group is an health care organization with primary practice located at 12955 Nw Cornell Rd , Portland OR 97229-5863. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Cornell Eyecare Group, Inc can be contacted via phone (503) 643-5556, or through Lawson, Chad Wayne via phone (503) 643-5556.
Contact Information
Primary practice address
12955 Nw Cornell Rd
Portland OR 97229-5863
Phone: (503) 643-5556
Fax: (503) 641-2515
Website:
Authorized official contact:
Name: Lawson, Chad Wayne Doctor of Optometry (OD)
Phone: (503) 643-5556
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2784ATI | Oregon |
Profile Details
| NPI number | 1982758868 |
|---|---|
| LBN Legal business name | Cornell Eyecare Group, Inc |
| DBA Doing business as | Cornell Eyecare Group |
| Authorized official | Lawson, Chad Wayne Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Sep 23rd, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982758868 | NPPES |
| Oregon | MEDICAID | 18428-3 |
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