| NPI | 1174916910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN SCHMIDT Optometrist/Owner 503-636-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3401AT) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2017-03-13 |