Organization
MATTHEW D GEORGESON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW D. GEORGESON O.D. (PRESIDENT)
(208) 830-2445
Entity
Organization
Contact information
Practice address
1775 E IDAHO AVE, ONTARIO, OR 97914-3009
(208) 830-2445
(541) 889-5286
Mailing address
1775 E IDAHO AVE, ONTARIO, OR 97914-3009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2983AT
OR
Other
Enumeration date
11/24/2008
Last updated
11/25/2008
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