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Organization
NORTHWEST EYE CENTER PC
Active
Organization
NORTHWEST EYE CENTER PC
Active
Other names
Optical Weston
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM D BELLIS (FINANCIAL COORDINATOR)
(541) 672-2020
Entity
Organization
Contact information
Practice address
2435 NW KLINE ST, ROSEBURG, OR 97471-1690
(541) 672-2020
(541) 673-8084
Mailing address
2435 NW KLINE ST, ROSEBURG, OR 97471-1690
(541) 672-2020
(541) 673-8084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Enumeration date
01/23/2007
Last updated
01/04/2012
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