| NPI | 1487786455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M MONKMAN Owner 541-276-3653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2399ATI) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 2456ATI) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-09-29 |