Provider Demographics
NPI:1679636492
Name:BIGGAR, DAVID ANTHONY (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTHONY
Last Name:BIGGAR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CENTERPOINTE DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-8618
Mailing Address - Country:US
Mailing Address - Phone:503-639-0488
Mailing Address - Fax:503-620-4448
Practice Address - Street 1:2 CENTERPOINTE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-8618
Practice Address - Country:US
Practice Address - Phone:503-639-0488
Practice Address - Fax:503-620-4448
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3442ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500648669Medicaid
ORR167211Medicare PIN