| NPI | 1245579994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H HAINES Owner 541-683-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2018-05-15 |