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 |