Organization
SUSTAINABLE VISION LLC
Active
Other names
Portland Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL EDWARD ADELMAN O.D. (MEMBER)
(971) 263-0495
Entity
Organization
Contact information
Practice address
11800 SE 82ND AVE, HAPPY VALLEY, OR 97086-7711
(503) 660-3093
(503) 654-5429
Mailing address
PO BOX 86221, PORTLAND, OR 97286-0221
(971) 263-0495
(503) 654-5429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3462ATI
OR
152WC0802X
Corneal and Contact Management Optometrist
3462ATI
OR
152WL0500X
Low Vision Rehabilitation Optometrist
3462ATI
OR
152WP0200X
Pediatric Optometrist
3462ATI
OR
152WS0006X
Sports Vision Optometrist
3462ATI
OR
152WV0400X
Vision Therapy Optometrist
3462ATI
OR
152WX0102X
Occupational Vision Optometrist
3462ATI
OR
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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