| NPI | 1992798136 |
|---|---|
| Doing Business As | OPTOMETRIC COVERAGE |
| Entity Type | Organization |
| Authorized Contact | DONALD J JOHNSON President 541-488-1417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1642ATI) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OR 1642ATI) |
| 152WP0200X Optometrist, Pediatrics (Licence: OR 1642ATI) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OR 1642ATI) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-02-10 |