NPI | 1619759453 |
---|---|
Doing Business As | BEND FAMILY VISION CARE |
Entity Type | Organization |
Authorized Contact | DIANA LEE COOPER Billing Manager 541-740-8021 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2023-10-17 |
Last Update Date | 2024-04-16 |