NPI | 1376773960 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL HEBER KIMBALL Optometrist 541-963-3788 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OR 3311AT) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2010-09-09 |