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Organization

LAURA M GIANELLI OD & WALTER R RECECONI OD, PC

Active
Other names
North Coast Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WALTER R. RECECONI O.D. (OPTOMETRIST CO-OWNER)
(503) 325-4401
Entity
Organization

Contact information

Practice address
577 18TH ST, ASTORIA, OR 97103-3505
(503) 325-4401
(503) 325-3278
Mailing address
577 18TH ST, ASTORIA, OR 97103-3505
(503) 325-4401
(503) 325-3278

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2022ATI 1994ATI
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150738
OR
01
1994ATI
LICENSE
OR
01
2022ATI
LICENSE
OR
Enumeration date
05/16/2007
Last updated
06/30/2010
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