NPI | 1114373644 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK DRAMEN Owner/Optician 541-923-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OR 2547AT) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2016-07-21 |