Organization Name: | MEDICAL EYE CENTER OPTICAL INC |
NPI Number: | 1629242938 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH CASEBOLT (CEO) |
Mailing Address: | 881 Ne 7th St Grants Pass |
State: | OR US |
Postal Code: | 975261634 |
Phone Number: | 5414766302 |
Fax Number: | 5414761440 |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 02/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |