| NPI | 1275655391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROSS HALE Owner 541-754-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1046ATI) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 2674ATI) |
| 152W00000X Optometrist (Licence: OR 3026ATI) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-04-22 |