| NPI | 1639382039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY ANNE FREEMAN Dispensing Optician 503-229-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-10-09 |