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Organization
EAGLE OPTICAL INC
Active
Organization
EAGLE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J COX OPTICIAN (OWNER)
(541) 523-2020
Entity
Organization
Contact information
Practice address
3705 MIDWAY DR, BAKER CITY, OR 97814-1456
(541) 523-2020
(541) 523-4965
Mailing address
3705 MIDWAY DR, BAKER CITY, OR 97814-1456
(541) 523-2020
(541) 523-4965
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279170
—
OR
Enumeration date
03/19/2008
Last updated
05/11/2011
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