| NPI | 1568648731 |
|---|---|
| Former Legal Business Name | PAULSON EYECARE |
| Entity Type | Organization |
| Authorized Contact | WAYNE PAULSON President 541-469-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1359AT) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2009-08-31 |