| NPI | 1285824417 |
|---|---|
| Doing Business As | ABC VISON SOURCE ALOHA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HESTER Sec./Treas. 503-473-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 2784ATI) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-11-05 |