| NPI | 1134281355 |
|---|---|
| Doing Business As | ADVANCED VISION WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | GERALD ROBERT STARCHVICK President 541-779-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR 1563ATI) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-04-20 |