Individual
HERA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4141 NE STEPHENS ST, ROSEBURG, OR 97470-1161
(541) 378-0033
(541) 378-0034
Mailing address
4141 NE STEPHENS ST, ROSEBURG, OR 97470-1161
(541) 378-0033
(541) 378-0034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1067
NV
Other
Enumeration date
03/17/2020
Last updated
05/05/2026
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