Organization
GRAPEVINE VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MCCANN OD (OWNER)
(815) 701-8221
Entity
Organization
Contact information
Practice address
7421 SW BARBUR BLVD STE 120, PORTLAND, OR 97219-2887
(503) 343-1603
(503) 343-1604
Mailing address
7421 SW BARBUR BLVD STE 120, PORTLAND, OR 97219-2887
(503) 343-1603
(503) 343-1604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
05/01/2025
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