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Organization
OPTICAL SHOP EQUIPMENT INC
Active
Organization
OPTICAL SHOP EQUIPMENT INC
Active
Other names
Umpqua Valley Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER WILLOUGHBY MD (OWNER)
(541) 673-1340
Entity
Organization
Contact information
Practice address
341 NW MEDICAL LOOP, SUITE 120, ROSEBURG, OR 97471-5540
(541) 673-1340
(541) 672-0655
Mailing address
341 NW MEDICAL LOOP, SUITE 120, ROSEBURG, OR 97471-5540
(541) 957-7771
(541) 672-0665
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
03/26/2025
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