D Gregory Luce Od Pc in Beaverton - Optometrist
D Gregory Luce Od Pc - NPI 1174610331
D Gregory Luce Od Pc is a Optometrist in Beaverton, Oregon. D Gregory Luce Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for D Gregory Luce Od Pc is 1174610331. The last update date is 2020-08-22.
D Gregory Luce Od Pc's current location address is 14667 Sw Teal Blvd, Beaverton, Oregon. You can contact this provider via phone number 5035792020 and fax number 5035790404. The mailing address for D Gregory Luce Od Pc is 14667 Sw Teal Blvd, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | D Gregory Luce Od Pc |
|---|---|
| Address | 14667 Sw Teal Blvd, Beaverton, Oregon |
| Phone Number | 5035792020 |
| Fax Number | 5035790404 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Luce Gregory David |
| Credentials | O.D. |
| Telephone Number | 5035792020 |
NPI Number Detail
| NPI Number | 1174610331 |
|---|---|
| Provider Enumeration Date | 2006-10-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 14667 Sw Teal Blvd |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970076194 |
| Phone Number | 5035792020 |
| Fax Number | 5035790404 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identification code assigned to D Gregory Luce Od Pc by the Centers for Medicare & Medicaid Services?
The D Gregory Luce Od Pc has been issued the NPI (National Provider Identifier) 1174610331. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of D Gregory Luce Od Pc?
The D Gregory Luce Od Pc is situated at 14667 Sw Teal Blvd, in the city of Beaverton, state of OR, with the zip code 970076194.
What is D Gregory Luce Od Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for D Gregory Luce Od Pc is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174610331 to D Gregory Luce Od Pc?
The D Gregory Luce Od Pc received its 1174610331 assignment from the Centers for Medicare & Medicaid Services on 2006-10-09.
As of what date were the D Gregory Luce Od Pc's details last updated?
The information pertaining to the D Gregory Luce Od Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.