| Sherwood Family Eye Health Llc | |
|
20407 Sw Borchers Dr Suite 202 Sherwood OR 97140-8760 | |
| (503) 625-2727 | |
| (503) 625-2929 |
| Full Name | Sherwood Family Eye Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20407 Sw Borchers Dr, Sherwood, Oregon |
| Authorized Official Name and Position | Adina N Zapodeanu (OWNER) |
| Authorized Official Contact | 5036252727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherwood Family Eye Health Llc 20407 Sw Borchers Dr Suite 202 Sherwood OR 97140-8760 Ph: (503) 625-2727 | Sherwood Family Eye Health Llc 20407 Sw Borchers Dr Suite 202 Sherwood OR 97140-8760 Ph: (503) 625-2727 |
| NPI Number | 1013045152 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 11/07/2008 |
| Medicare PECOS PAC ID | 8325142615 |
|---|---|
| Medicare Enrollment ID | O20070326000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013045152 | NPI | - | NPPES |
| 241823 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3152 ATI (Oregon) | Primary |
| Provider Name | Adina N Zapodeanu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659307932 PECOS PAC ID: 9638104268 Enrollment ID: I20070209000620 |
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