Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRET A. PROVOST, O.D.
ActiveDR. BRET A. PROVOST, O.D. is a Optometrist healthcare provider located in CLACKAMAS, Oregon. NPI 1528093556 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CLACKAMAS, OR
Registration Details
- NPI Number
- 1528093556
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.063358124805 yrs)
- Last Updated
- May 4, 2010
- License
-
3132 (OR)
Practice Information
- Address
-
9201 SE 91ST AVESUITE 210CLACKAMAS, OR, 970863760Browse OR providers · Browse ZIP 97086
- Phone
- 5037752424
- Fax
- 5037756181
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. BETH RACHEL GABBARD | O.D. | 1518902089 |
| MARK EDWARD MCLAIN | O.D. | 1356446900 |
| BRUCE ROBERT WOJCIECHOWSKI | OD | 1437247533 |
| DR. JONATHAN RUSSELL | OD | 1558576546 |
| DR. DAVID J BAREY | O.D. | 1619183712 |
| DR. CARRIE LYNN BREEDEN | O.D. | 1528216793 |
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.