| NPI | 1609078229 |
|---|---|
| Doing Business As | PORTLAND VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD W BLOCKER Owner Optometrist 615-325-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-10-24 |