NPI | 1982879292 |
---|---|
Doing Business As | MEDFORD FAMILY OPTICAL |
Entity Type | Organization |
Authorized Contact | KEITH CASEBOLT CEO 541-779-4711 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2008-04-28 |
Last Update Date | 2008-04-28 |