Aazy A Aaby, MD
Individual provider Active NPI Ophthalmology Physician · Portland, OR
NPI 1164404232 · NPPES record last updated Nov 17, 2009
Key facts
- NPI
- 1164404232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- MD14578 (OR)
- Practice address
- 1955 NW Northrup St
Portland, OR 97209-1614 - Phone
- (503) 227-2020
- Fax
- (503) 222-0614
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14578 | OR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Health Northwest Optical, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD14578 | OR | Yes |
Addresses
Primary practice location
1955 NW Northrup St
Portland, OR 97209-1614
Mailing address
11086 SE Oak St
Milwaukie, OR 97222-6692
Phone (503) 557-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142315 | Medicaid | OR |
Other providers in Portland, OR
- Timothy A A Rogers
- A Step Forward LLC
- A Will to Wonder Counseling
- A Woman'S Time, P.C.
- Aaa Health Services, LLC
- Candie Jo Aaby
- Aaim Care LLC
- Aakash Kishore, PH.D., LLC
- Alex Aamodt
- Carly Aamoth
All providers in Portland, OR · Ophthalmology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.