Steven J. Clouse, Od

LBN: Eyedentity Vision Center P.C.
Steven J. Clouse, Od is an health care organization with primary practice located at 2609 Se Clinton St , Portland OR 97202-1240. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eyedentity Vision Center P.C. can be contacted via phone (503) 238-1139, or through Clouse, Steven J via phone (503) 238-1139.

Contact Information

Primary practice address
2609 Se Clinton St Portland OR 97202-1240
Phone: (503) 238-1139
Fax: (503) 235-6574
Website:
Map and Directions
Authorized official contact:
Name: Clouse, Steven J Doctor of Optometry (OD)
Phone: (503) 238-1139

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2408T Oregon

Profile Details

NPI number 1003930132
LBN Legal business name Eyedentity Vision Center P.C.
DBA Doing business as Steven J. Clouse, Od
Authorized official Clouse, Steven J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Oct 16th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003930132 NPPES
Oregon Other 1285640714 DR. CLOUSE'S NPI

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