NPI | 1952610149 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN A EASLY-DEBISSCHOP Owner/Doctor 541-889-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1686ATI) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2012-07-27 |