MADRAS VISION SOURCE PC

Optometrist

Active Organization
NPI: 1164791414

Practice Address

211 SE 5TH ST
Madras, OR 97741

Phone: (541) 475-2020

Specialties

Specialty Code Primary License
Eyewear Supplier 332H00000X No -
Optometrist 152W00000X Yes 3215ATI (OR)

Frequently Asked Questions

NPI 1164791414 is the National Provider Identifier for MADRAS VISION SOURCE PC, a Optometrist provider located in Madras, OR. This NPI was enumerated on December 15, 2011.

Quick Facts

NPI
1164791414
Type
Organization
Enumerated
Dec 15, 2011
Last Updated
May 17, 2022

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