| NPI | 1407841406 |
|---|---|
| Doing Business As | MID COLUMBIA VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | JAY W MAUCK President 541-296-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2024-01-24 |