| Alexa Nicole Thavorn I, OD | |
|
11805 Nw Cedar Falls Dr Ste 105, Portland, OR 97229-2780 | |
| (503) 747-0265 | |
| Not Available |
| Full Name | Alexa Nicole Thavorn I |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 11805 Nw Cedar Falls Dr Ste 105, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083205074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ATI4556 (Oregon) | Primary |
| Provider Name | Thomas M Barreto Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174662951 PECOS PAC ID: 7315910684 Enrollment ID: O20040816000336 |
| Provider Name | Bernard P Conway Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609268051 PECOS PAC ID: 2466773999 Enrollment ID: O20150609000858 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexa Nicole Thavorn I, OD 2621 Ne 7th Ave Apt 404, Portland, OR 97212-3179 Ph: (714) 478-2676 | Alexa Nicole Thavorn I, OD 11805 Nw Cedar Falls Dr Ste 105, Portland, OR 97229-2780 Ph: (503) 747-0265 |
Mrs. Ayla Jade Himmelsbach, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7826 Sw Capitol Hwy, Portland, OR 97219 Phone: 503-224-7788 | |
Eyedentity Vision Center P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2609 Se Clinton St, Portland, OR 97202 Phone: 503-238-1139 Fax: 503-235-6574 | |
On Sight Optical, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4542 Ne Martin Luther King Jr Blvd, Portland, OR 97211 Phone: 503-228-2154 Fax: 503-228-4694 | |
Dr. Larry E Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Ste 106, Portland, OR 97266 Phone: 503-653-1442 | |
Dr. Kim M Clark & Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12000 Se 82nd Avenue, #2012, Portland, OR 97266 Phone: 503-652-6001 Fax: 503-652-6012 | |
Dr. Laura Mae Armstrong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2021 Ne Alberta St, Portland, OR 97211 Phone: 503-384-2489 Fax: 503-379-9488 | |
Dr. Hayden Minh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8315 Se Stark St, Portland, OR 97216 Phone: 503-282-3070 Fax: 503-287-3482 |