Healthcare Provider Details

I. General information

NPI: 1306766746
Provider Name (Legal Business Name): SUNNY VIEW OPTOMETRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13130 SE 84TH AVE
CLACKAMAS OR
97015-9733
US

IV. Provider business mailing address

13130 SE 84TH AVE
CLACKAMAS OR
97015-9733
US

V. Phone/Fax

Practice location:
  • Phone: 503-303-4381
  • Fax: 503-794-5529
Mailing address:
  • Phone: 503-303-4381
  • Fax: 503-794-5529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK ALBERT BREEDEN
Title or Position: OWNER/DOCTOR
Credential: OD
Phone: 541-840-3168