| NPI | 1548472780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN PLOEM MILLER Owner Optometrist 503-648-8328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1445ATI) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-05-04 |