| NPI | 1851573323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA B GATES President 541-267-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1992ATI) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR 1992ATI) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OR 1992ATI) | |
| 152WP0200X Optometrist, Pediatrics (Licence: OR 1992ATI) | |
| 152WS0006X Optometrist, Sports Vision (Licence: OR 1992ATI) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: OR 1992ATI) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: OR 1992ATI) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-11-06 |