NPI | 1679744148 |
---|---|
Doing Business As | 20/20 EYECARE PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | WAYNE L GERIG Owner 503-244-1004 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1478AT) |
Enumeration Date | 2008-03-12 |
Last Update Date | 2015-04-16 |