| NPI | 1619959731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT WILLIAMS CEO 503-558-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-06-20 |