Organization
GRESHAM OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG E BROPHY O.D. (OPTOMETRIST)
(503) 667-2424
Entity
Organization
Contact information
Practice address
2150 NE DIVISION ST, SUITE 101, GRESHAM, OR 97030-5813
(503) 667-2424
(503) 492-3236
Mailing address
2150 NE DIVISION ST, SUITE 101, GRESHAM, OR 97030-5813
(503) 667-2424
(503) 492-3236
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001060
—
OR
Enumeration date
11/13/2008
Last updated
08/27/2015
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