Healthcare Provider Details

I. General information

NPI: 1831023944
Provider Name (Legal Business Name): LUKE ANDREW BRINTON OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6375 ULALI DR NE
KEIZER OR
97303-1697
US

IV. Provider business mailing address

1433 NE ALEX WAY APT 341
HILLSBORO OR
97124-8608
US

V. Phone/Fax

Practice location:
  • Phone: 503-428-5096
  • Fax:
Mailing address:
  • Phone: 208-870-2953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberAT4828
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: