Individual provider · Type 1 NPI

Alexa Nicole Thavorn I, OD

Optometrist · Portland, OR

NPI number 1083205074 Active

Practice location

11805 NW Cedar Falls Dr Ste 105
Portland, OR 97229-2780

Mailing address

2621 NE 7th Ave Apt 404
Portland, OR 97212-3179

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XATI4556 (OR)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1083205074

Alexa Nicole Thavorn I, OD's National Provider Identifier is 1083205074, issued on Feb 1, 2021. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Portland, OR. The record was last updated on Feb 1, 2021.