IndividualActive
Kelvin So, O.D.
NPI 1053646133 · Corneal and Contact Management Optometrist · Forest Grove, OR
Provider details
- NPI number
- 1053646133
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 3414ATI (OR)
Mailing address
2543 Nw Overlook Dr Apt 127
Hillsboro, OR 97124-7606
Registry dates
- Enumerated
- 2009-10-07
- Last updated
- 2011-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.