| NPI | 1598396244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN WOODS Owner 503-312-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-04-17 |