Ashland Optometric Clinic Pc

NPI 1073721627 - Optometrist - 152W00000X

NPI Details
NPI 1073721627
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH L. KENNETH
Position PRESIDENT
Phone (541) 482-3466
Fax (541) 482-7524
Practice Location
933 SISKIYOU BLVD
ASHLAND OR, 97520-2143, US
Phone (541) 482-3466
Fax (541) 482-7524
Business Location
933 SISKIYOU BLVD
ASHLAND OR, 97520-2143, US
Phone (541) 482-3466
Fax (541) 482-7524
Toxanomy
Taxonomy Code 152W00000X
License State Oregon
License Number 1278ATI
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According to our database, Ashland Optometric Clinic Pc NPI is 1073721627, taxonomy code is 152W00000X and license number is 1278ATI, license state is located at Oregon. Ashland Optometric Clinic Pc physically located at 933 Siskiyou Blvd, Ashland OR, 97520-2143. NPI Number 1033115704 has the healthcare provider type.

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1073721627 NPI number is provided on an as is basis without warranty of any kind. 1073721627 is maintained by the National Plan & Provider Enumeration System. The contents of Ashland Optometric Clinic Pc are for informational purposes only.