Organization
BRIDGETOWN OPTOMETRIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D OLMA OD (PARTNER)
(702) 540-1333
Entity
Organization
Contact information
Practice address
12923 NW CORNELL RD STE 203, PORTLAND, OR 97229-5834
(503) 645-5076
Mailing address
12923 NW CORNELL RD STE 203, PORTLAND, OR 97229-5834
(503) 645-5076
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3577ATI
OR
152W00000X
Optometrist
Primary
3608ATI
OR
Other
Enumeration date
08/19/2015
Last updated
03/01/2022
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