Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Ardiss, OD

Individual provider Optometrist · NPI 1073756573

Angela Ardiss, OD is an Optometrist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

14740 NW Cornell Rd Ste 110
Portland, OR 97229-5400
Phone: (503) 645-8002
Fax: (503) 645-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2506ATI (OR)

Record details

NPI number1073756573
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 14, 2009
Last updated in NPPESDecember 4, 2012
Mailing address14740 Nw Cornell Rd Ste 110, Portland, OR 97229-5400

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