| NPI | 1003357153 |
|---|---|
| Doing Business As | WIND CITY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | LEVI M PORTER Optometrist 503-504-6941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WY 299T) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |