Healthcare Provider Details

I. General information

NPI: 1356383939
Provider Name (Legal Business Name): VISION ACCENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1981 NW 185TH AVE
HILLSBORO OR
97124-7072
US

IV. Provider business mailing address

1981 NW 185TH AVE
HILLSBORO OR
97124-7072
US

V. Phone/Fax

Practice location:
  • Phone: 503-690-9200
  • Fax: 503-690-6189
Mailing address:
  • Phone: 503-690-9200
  • Fax: 503-690-6189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: TODD MICHAEL SHELDON
Title or Position: OWNER
Credential:
Phone: 541-548-2488