| NPI | 1790922557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAT L MERRITT Optometrist 541-895-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OR 2718ATI) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2010-12-08 |