Organization
MAISHA OPTICAL LLC
Active
Other names
Advanced Vision Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAISHA LANGELLA (OWNER)
(808) 677-7727
Entity
Organization
Contact information
Practice address
1251 E MCANDREWS RD STE 100, MEDFORD, OR 97504-6497
(808) 264-4810
Mailing address
1251 E MCANDREWS RD STE 100, MEDFORD, OR 97504-6497
(808) 264-4810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/11/2023
Last updated
01/10/2025
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