Organization
TIGARD VISION WORLD, P.C.
Active
Other names
Tigard Vision World
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DONALD HARRIS O.D. (PRESIDENT)
(503) 703-7451
Entity
Organization
Contact information
Practice address
9975 SW FREWING ST, SUITE 130, TIGARD, OR 97223-5091
(503) 906-3596
(503) 906-1014
Mailing address
9975 SW FREWING ST, SUITE 130, TIGARD, OR 97223-5091
(503) 906-3596
(503) 906-1014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1863T
OR
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500774223
—
OR
Enumeration date
07/12/2011
Last updated
09/01/2021
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