| NPI | 1174705438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE STONER Owner/ Doctor 541-367-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2480ati) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OR 2480ati) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2010-08-02 |