| NPI | 1730231838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE STONEBURNER O PT Ician 541-683-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: OR 051837-85) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-03-15 |