# PAUL STASIK OD PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAUL STASIK OD PC
- **Other names:** Barnes Professional Eye Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396750717
- **Legal business name:** PAUL STASIK OD PC
- **Authorized official:** DR. PAUL M. STASIK O.D. (PRESIDENT)
- **Authorized official phone:** (503) 646-5194

## Contact information

- **Practice address:** 11750 SW BARNES RD, SUITE 120, PORTLAND, OR 97225-5911
- **Practice address phone:** (503) 646-5194
- **Practice address fax:** (503) 646-9390
- **Mailing address:** 11750 SW BARNES RD, SUITE 120, PORTLAND, OR 97225-5911
- **Mailing address phone:** (503) 646-5194
- **Mailing address fax:** (503) 646-9390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 2936AT | OR | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 09/26/2012