Active NPIIndividual provider

Dr. Analicia N Czupryk, OD

Optometrist in Tigard, Oregon

NPI Number1710248638
Practice location
9730 SW Washington Square RD, Tigard, OR 97223-4453
Fax
503-624-0959
Last updated
March 24, 2014

Analicia Nicole Czupryk is an Optometrist based in Tigard, OR. Analicia Nicole Czupryk practices in Tigard, OR and has the professional credentials of OD. The NPI Number for Analicia Nicole Czupryk is 1710248638 and holds a License No. 3445ATI (OR). The current practice location address for Analicia Nicole Czupryk is 9730 SW Washington Square RD, Tigard, OR 97223-4453 and can be reached out via phone at 503-624-0666 and via fax at 503-624-0959.

Provider Profile Details

NPI Number
1710248638
Provider Name
Analicia Nicole Czupryk
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
9730 SW Washington Square RD, Tigard, OR 97223-4453
Phone Number
503-624-0666
Fax Number
503-624-0959
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2012
Last Update Date
March 24, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
9730 SW Washington Square RD
Tigard, OR 97223-4453
City
Tigard
State
Oregon
Zip
97223-4453
Phone Number
503-624-0666
Fax Number
503-624-0959
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
7591 SW Pine St
Portland, OR 97223-8715
City
Portland
State
OR
Zip
97223-8715
Phone Number
503-701-2557

License Information

License Number
3445ATI
License State
OR
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Analicia N Czupryk, OD?

The NPI number of Dr. Analicia N Czupryk, OD is 1710248638. It was assigned on June 6, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Analicia N Czupryk, OD?

Dr. Analicia N Czupryk, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in OR under license number 3445ATI.

Where does Dr. Analicia N Czupryk, OD practice?

The practice location is 9730 SW Washington Square RD, Tigard, OR 97223-4453. The office can be reached at 503-624-0666 (phone) or 503-624-0959 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710248638 directly on the NPPES registry website.

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