Healthcare Provider Details

I. General information

NPI: 1093893547
Provider Name (Legal Business Name): COUPLE OF EYES VISION CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2326 NW AMBERBROOK DR
BEAVERTON OR
97006-6952
US

IV. Provider business mailing address

2326 NW AMBERBROOK DR
BEAVERTON OR
97006-6952
US

V. Phone/Fax

Practice location:
  • Phone: 503-466-2966
  • Fax: 503-466-2008
Mailing address:
  • Phone: 503-466-2966
  • Fax: 503-466-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number2796ATI
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number2905ATI
License Number StateOR

VIII. Authorized Official

Name: DR. PAUL H. SHIH
Title or Position: OPTOMETRIST/PRESIDENT
Credential: O.D.
Phone: 503-466-2966