NPI | 1578707386 |
---|---|
Doing Business As | EVERGREEN EYEWEAR |
Entity Type | Organization |
Authorized Contact | SHAWN D. MURPHY Executive Director 541-485-6340 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: OR 162991) |
Enumeration Date | 2009-04-23 |
Last Update Date | 2020-02-07 |