Organization
ACUITY VISION CENTER, LLC
Active
Other names
Gresham Station Vision INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JUNGHO AN OD (PRINCIPAL)
(503) 760-2525
Entity
Organization
Contact information
Practice address
1380 E POWELL BLVD, GRESHAM, OR 97030-8004
(503) 760-2525
(503) 895-2020
Mailing address
1380 E POWELL BLVD, GRESHAM, OR 97030-8004
(503) 760-2525
(503) 895-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OR2825ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118456
PIN GROUP
OR
Enumeration date
02/13/2007
Last updated
10/31/2023
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