| 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 |