| NPI | 1679871123 |
|---|---|
| Doing Business As | FAMILY FOCUS VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | HERSEL ORRIN LEWIS President 503-585-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2345ATI) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |