Anh Bui
Individual provider Active NPI Eyewear Supplier · Portland, OR
NPI 1225158496 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1225158496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Eyewear Supplier 332H00000X
- Practice address
- 5845 NE Prescott St
Portland, OR 97218-2231 - Phone
- (503) 810-0064
- Fax
- (503) 287-3482
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montavilla Vision Professionals | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | OR | Yes |
Addresses
Primary practice location
5845 NE Prescott St
Portland, OR 97218-2231
Mailing address
5845 NE Prescott St
Portland, OR 97218-2231
Phone (503) 810-0064
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.