| NPI | 1881828135 |
|---|---|
| Doing Business As | LA PINE EYECARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | GRAHAM A BALCER Owner 541-536-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3178ATI) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |