OrganizationActive
Gresham Optical, Inc
NPI 1760636005 · Eyewear Supplier · Gresham, OR
Provider details
- NPI number
- 1760636005
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Greg Brophy, Optometrist(503) 667-2424
Specialties & taxonomies
Suppliers
Practice location
2150 Ne Division St
Suite 101
Gresham, OR 97030-5813
Phone: (503) 667-2424
Fax: (503) 492-3236
Approximate (ZIP-level) locationGet directions
Mailing address
2150 Ne Division St
Gresham, OR 97030-5813
Registry dates
- Enumerated
- 2008-11-13
- Last updated
- 2015-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.