Organization
SIGHTSEEING MOBILE EYE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAD WILLIS BUCKINGHAM O.D. (OWNER PHYSICIAN)
(503) 459-9247
Entity
Organization
Contact information
Practice address
7615 SW SPEAKS DR, GASTON, OR 97119-9117
(503) 459-9247
Mailing address
7615 SW SPEAKS DR, GASTON, OR 97119-9117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4022 ATI
OR
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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