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General NPI Number Information
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NPI Number | 1285271551
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Entity Type | Organization
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Legal Business Name | HOBAN VISION, INC.
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1775 NE CESAR E CHAVEZ BLVD
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City | PORTLAND
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State | OR
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Zip | 97212-5322
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Country | US
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Telephone | 503-288-6181
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Fax | 503-288-7690
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Provider Business Mailing Address
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Address Line | 7016 SW NYBERG ST
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City | TUALATIN
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State | OR
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Zip | 97062-9231
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. KEELY HOBAN
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Credential | OD
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Telephone | 503-692-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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