Organization
GRESHAM VISION SOURCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUAN TU NGUYEN OD (OPTOMETRIST OWNER)
(503) 669-1992
Entity
Organization
Contact information
Practice address
929 NE 181ST AVE, PORTLAND, OR 97230-6757
(503) 669-1992
(503) 618-8262
Mailing address
929 NE 181ST AVE, PORTLAND, OR 97230-6757
(503) 669-1992
(503) 618-8262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2987AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117114
GROUP PIN
OR
05
—
V07577
—
OR
Enumeration date
10/23/2006
Last updated
03/02/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us