BROADWAY VISION WORLD
Organization (NPI-2)
Active
Optometrist
Provider Information
- NPI Number
1295915700- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1962 SW BROADWAY, PORTLAND, OR, 972016710
- Phone
- (503) 223-6655
- Fax
- (503) 233-6657
Specialties & Taxonomies
Optometrist
Primary License: OR #1863T