NPI | 1144412701 |
---|---|
Other Name | SALEM EYE PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | DAREK ALLEN HUGGETT Owner 503-391-9570 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3012ATI) |
Enumeration Date | 2007-08-16 |
Last Update Date | 2020-11-20 |