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NPI 1992500169

IndividualActive

Angela Shafer

NPI 1992500169 · Optician · Bend, OR

Provider details

NPI number: 1992500169
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Sex: Female
Sole proprietor: Yes
License: 255037 (OR)

Practice location

20120 Pinebrook Blvd

Bend, OR 97702-2537

Phone: (541) 389-2508

Fax: (541) 389-2973

More OR providers

Mailing address

20120 Pinebrook Blvd

Bend, OR 97702-2537

Registry dates

Enumerated: 2025-02-13
Last updated: 2025-02-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Angela Shafer — NPI 1992500169, Bend, OR | NPI Central