| NPI | 1609944347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CASEBOLT CEO 541-779-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2017-07-26 |