TABOR INDUSTRIES INC NPI 1093040131

NPI Information

  • NPI: 1093040131
  • Provider Name: TABOR INDUSTRIES, INC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: LAKESIDE OPTICAL
  • Address: 27 S STATE ST
    SUITE 240
    LAKE OSWEGO, OR
    ZIP 97034
  • Phone: (503) 636-9608

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NPI Details

TABOR INDUSTRIES, INC is an eyewear supplier in Lake Oswego, OR. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TABOR INDUSTRIES, INC NPI is 1093040131. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Optical.

The provider's business location address is:

27 S STATE ST
SUITE 240
LAKE OSWEGO, OR
ZIP 97034-935
Phone: (503) 636-9608
Fax: (503) 675-1112

The provider's authorized official is Janet M Tabor .
The authorized official title is President and has the following contact phone number (503) 636-9608.

The enumeration date for this NPI number is 10/7/2009 and was last updated on 10/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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