Provider Demographics
NPI:1467690222
Name:HUB OPTIX
Entity Type:Organization
Organization Name:HUB OPTIX
Other - Org Name:BV OPTICAL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-670-0902
Mailing Address - Street 1:7367 SW BRIDGEPORT RD
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7710
Mailing Address - Country:US
Mailing Address - Phone:503-670-0902
Mailing Address - Fax:503-670-0868
Practice Address - Street 1:7367 SW BRIDGEPORT RD
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-7710
Practice Address - Country:US
Practice Address - Phone:503-670-0902
Practice Address - Fax:503-670-0868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty