Aa Vision Corporation

Organization Active NPI Optometrist · Gresham, OR

NPI 1376141754 · NPPES record last updated Sep 11, 2023

Key facts

NPI
1376141754
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
AA VISION CORPORATION
Practice address
2474 SE Burnside Rd
Gresham, OR 97080-1247
Phone
(503) 484-8663
NPI assigned
Oct 16, 2020
Organization subpart
No

Authorized official

Name
Anthony J Turin, OD
Title
Owner/Doctor
Phone
(503) 484-8663

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201222001431 OR Part B Supplier - Clinic/Group Practice 4981016649 Receives reassigned benefits from 3 practitioners
Practice locations: Gresham, OR

National Provider Directory

Locations

2474 SE Burnside Rd
Gresham, OR 97080
Phone (402) 366-8402

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X Yes
Eyewear Supplier 332H00000X

Addresses

Primary practice location

2474 SE Burnside Rd
Gresham, OR 97080-1247

Mailing address

2474 SE Burnside Rd
Gresham, OR 97080-1247

Other names

  • Mt Hood Eye Care Gresham Doing business as

Other providers in Gresham, OR

All providers in Gresham, OR · Optometrist in Oregon

Sources for this page

Verify at the official NPI Registry.