| NPI | 1053307413 |
|---|---|
| Doing Business As | FAMILY FOCUS VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | MICKEY M VORPAHL Manager Secretary 503-585-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1666AT) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2011-06-08 |