Doctor Name: | DR. JAMAL MASALMEH |
NPI Number: | 1417071861 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 2956ATI |
Business Practice Address: | 200 W. Hospital Drive Whiteriver, AZ - 859410860 |
Business Phone Number: | 9283384911 |
Business Fax Number: | 9283385508 |
Mailing Address: | 15355 Sw Greenfield Dr, TIGARD |
State: | OR |
Postal Code: | 972243816 |
Phone Number: | 5033517111 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 2956ATI |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |