Organization
ADVANTAGE OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA LADOUCEUR OD (OPTOMETRIST/OWNER)
(503) 650-1839
Entity
Organization
Contact information
Practice address
502 MAIN ST, OREGON CITY, OR 97045-1811
(503) 650-1839
(503) 650-5357
Mailing address
502 MAIN ST, OREGON CITY, OR 97045-1811
(503) 650-1839
(503) 650-5357
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3267ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671079
—
OR
Enumeration date
10/25/2013
Last updated
05/22/2014
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