Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANITA (ANNIE) PHROMSIVARAK BACON, O.D.

Active

ANITA (ANNIE) PHROMSIVARAK BACON, O.D. is a Optometrist healthcare provider located in PORTLAND, Oregon. NPI 1366583684 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PORTLAND, OR

Registration Details

NPI Number: 1366583684
Provider Type: Individual
Gender: Female
NPI Issued: Feb 9, 2007 (19.476127475488 yrs)
Last Updated: May 21, 2013
License: 3195AT (OR)

Practice Information

Address: 921 SW 16TH AVE

PORTLAND, OR, 972051730
Browse OR providers · Browse ZIP 97205
Phone: 5032270573
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in PORTLAND, OR

Name	Credential	NPI
SCOTT J WOJCIECHOWSKI	O D	1164425948
DR. ERIC R BROWN	OD	1639171135
DR. GEORGE RICHARD NELSON	OD	1205829421
DR. PATRICK KWONG	OD	1427041961
DR. NATHANIEL ROLAND	O.D.	1811981624
DR. TREVOR HAY	O.D.	1700874492

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.