| NPI | 1912392689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN SCHIEDLER President 541-708-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: OR MD157237) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD157237) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2017-08-09 |