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Organization
MEDFORD FAMILY OPTICAL
Active
Organization
MEDFORD FAMILY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G APOSTOL M.D. (OWNER)
(541) 773-7420
Entity
Organization
Contact information
Practice address
815 E MAIN ST, MEDFORD, OR 97504-7133
(541) 773-7420
(541) 779-0787
Mailing address
815 E MAIN ST, MEDFORD, OR 97504-7133
(541) 773-7420
(541) 779-0787
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016910
—
OR
01
—
OR7166
EYEMED ID NUMBER
OR
Enumeration date
11/16/2005
Last updated
08/22/2020
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