| NPI | 1669647228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT DUANE VAN HOUTEN Optometrist 541-469-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2990T) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |