Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAD FORTUNE, OD PHD
ActiveBRAD FORTUNE, OD PHD is a Optometrist healthcare provider located in PORTLAND, Oregon. NPI 1932271566 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PORTLAND, OR
Registration Details
- NPI Number
- 1932271566
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.753975347258 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
2824T (OR)9833 (CA)
Practice Information
- Address
-
1040 NW 22ND AVENUEDEVERS EYE INSTITUTEPORTLAND, OR, 97210Browse OR providers · Browse ZIP 97210
- Phone
- 5034131198
- Fax
- 5034135179
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
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.