Healthcare Provider Details

I. General information

NPI: 1922715291
Provider Name (Legal Business Name): KAT EYE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2022
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SE 223RD AVE STE 160
GRESHAM OR
97030-2577
US

IV. Provider business mailing address

1201 SE 223RD AVE STE 160
GRESHAM OR
97030-2577
US

V. Phone/Fax

Practice location:
  • Phone: 503-492-2020
  • Fax:
Mailing address:
  • Phone: 503-492-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ANTHONY J TURIN
Title or Position: OWNER
Credential: OD
Phone: 503-492-2020