| NPI | 1255419909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE JUNG Owner/Optometrist 541-338-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-04-30 |