Organization
ALBERTA EYE CARE
Active
Other names
Cathedral Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ARMSTRONG O.D. (OWNER/OPTOMETRIST)
(503) 384-2489
Entity
Organization
Contact information
Practice address
2021 NE ALBERTA ST, PORTLAND, OR 97211-5847
(503) 384-2489
(503) 379-9488
Mailing address
2021 NE ALBERTA ST, PORTLAND, OR 97211-5847
(503) 384-2489
(503) 379-9488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3473ATI
OR
152WC0802X
Corneal and Contact Management Optometrist
3473ATI
OR
152WP0200X
Pediatric Optometrist
3473ATI
OR
156FX1800X
Optician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R172013
MEDICARE PTAN
OR
Enumeration date
08/28/2012
Last updated
03/02/2016
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