Provider Demographics
NPI:1598751802
Name:MURRAY SCHOLLS OPTIQUE INC
Entity Type:Organization
Organization Name:MURRAY SCHOLLS OPTIQUE INC
Other - Org Name:MURRAY SCHOLLS VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:503-579-6695
Mailing Address - Street 1:14600 SW MURRAY SCHOLLS DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-9712
Mailing Address - Country:US
Mailing Address - Phone:503-579-6695
Mailing Address - Fax:503-579-6658
Practice Address - Street 1:14600 SW MURRAY SCHOLLS DR
Practice Address - Street 2:SUITE 104
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-9712
Practice Address - Country:US
Practice Address - Phone:503-579-6695
Practice Address - Fax:503-579-6658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR119095Medicare ID - Type Unspecified