National Provider Identifier Database

JESSAMINE M MAIBEN
Contact Lens

An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.


Contact Information

JESSAMINE M MAIBEN
19400 NW EVERGREEN PKWY
HILLSBORO, OR97124-7031
Phone: 503-690-5005
Fax:
Website:
Specialty Taxonomy Code
* Contact Lens 156FC0800X

* Indicates primary specialty

NPI Profile & details for JESSAMINE M MAIBEN

NPI Number 1083709950
Credentials
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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