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Organization

ON SIGHT OPTICAL, INC.

Active
Other names
Hendrix & McGuire
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA MARIE NIENBURG (PRESIDENT)
(503) 228-2154
Entity
Organization

Contact information

Practice address
4542 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211-3346
(503) 228-2154
(503) 228-4694
Mailing address
4542 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211-3346
(503) 228-2154
(503) 228-4694

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278183
OR
01
TIN CONFIDENTIAL
CARE OREGON
OR
Enumeration date
12/29/2006
Last updated
10/07/2008
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