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Organization
EVERGREEN EYEWEAR
Active
Organization
EVERGREEN EYEWEAR
Active
Parent organization
LAUREL HILL CENTER
Other names
Evergreen Eyewear
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAUREL HILL CENTER
Authorized official
MRS. SHAWN D. MURPHY M.A., CPRP (EXECUTIVE DIRECTOR)
(541) 485-6340
Entity
Organization
Contact information
Practice address
82B CENTENNIAL LOOP, EUGENE, OR 97401-7909
(541) 780-6300
(541) 345-9218
Mailing address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 342-2020
(541) 345-9218
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
162991
OR
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079202
—
OR
Enumeration date
04/23/2009
Last updated
02/07/2020
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