IndividualActive
Larry Buchholz, OD
NPI 1770055352 · Optometrist · Cornelius, OR
Provider details
- NPI number
- 1770055352
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 4410ATI (OR)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
220 N Adair St
Cornelius, OR 97113-8404
Phone: (503) 207-0630
Fax: (503) 359-5929
Approximate (ZIP-level) locationGet directions
Mailing address
1154 Ne Alexandria St
Hillsboro, OR 97124-4049
Registry dates
- Enumerated
- 2018-12-20
- Last updated
- 2018-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.