| NPI | 1750650131 |
|---|---|
| Doing Business As | CUSTOM EYES |
| Entity Type | Organization |
| Authorized Contact | PAM EBERT Owner 541-741-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 3484AT) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2015-06-29 |