| NPI | 1730586918 |
|---|---|
| Doing Business As | LAKEVIEW EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK T FAY Owner/President 541-884-3148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2599ATI) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD16253) |
| 207W00000X Ophthalmology (Licence: OR MD29440) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-01-06 |