Eye Focus Northwest Llc

NPI 1033401062 - Optometrist - 152W00000X

NPI Details
NPI 1033401062
Enumeration Date 05/10/2011
Last Updated 05/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MARK J MARK
Position OWNER
Phone (503) 588-5513
Fax (503) 588-5470
Practice Location
3816 CENTER ST NE
SALEM OR, 97301-2905, US
Phone (503) 588-5513
Fax (503) 588-5470
Business Location
3816 CENTER ST NE
SALEM OR, 97301-2905, US
Phone (503) 588-5513
Fax (503) 588-5470
Toxanomy
Taxonomy Code 152W00000X
License State Oregon
License Number 2986ATI
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According to our database, Eye Focus Northwest Llc NPI is 1033401062, taxonomy code is 152W00000X and license number is 2986ATI, license state is located at Oregon. Eye Focus Northwest Llc physically located at 3816 Center St Ne, Salem OR, 97301-2905. NPI Number 1033115704 has the healthcare provider type.

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1033401062 NPI number is provided on an as is basis without warranty of any kind. 1033401062 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Focus Northwest Llc are for informational purposes only.