| NPI | 1700833209 |
|---|---|
| Doing Business As | CEDAR HILLS VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | KIRK J PARKER President 503-292-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-09-03 |