Healthcare Provider Details

I. General information

NPI: 1780368308
Provider Name (Legal Business Name): LOMBARDI CATARACT AND EYE SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9370 SW GREENBURG RD WASHINGTON BUILDING, SUITE 602
TIGARD OR
97223-5442
US

IV. Provider business mailing address

4931 SW 76TH AVE # 197
PORTLAND OR
97225-1805
US

V. Phone/Fax

Practice location:
  • Phone: 971-202-9682
  • Fax: 971-231-0208
Mailing address:
  • Phone: 503-706-0605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LORINNA LOMBARDI
Title or Position: PHYSICIAN/PRESIDENT
Credential: MD
Phone: 971-202-9682