| NPI | 1750611372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYHAN F ARYAH, MD Partner 541-687-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: NO LICENSE) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2015-07-06 |