| NPI | 1275678286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PIELAET Billing Specialist 541-686-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1192ATI) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-03-04 |