| Organization Name: | EYELAND FAMILY OPTICAL LLC |
| NPI Number: | 1790922557 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAT L MERRITT (OPTOMETRIST) |
| Mailing Address: | 281 W Oregon Ave Creswell |
| State: | OR US |
| Postal Code: | 974269605 |
| Phone Number: | 5418953937 |
| Fax Number: | 5418953951 |
| NPI Enumeration Date: | 01/15/2009 |
| NPI Last Update Date: | 12/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 2718ATI |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |