Organization
PHILIP Y PADEN EYE CARE OPTICAL
Active
Other names
PADEN EYE CARE OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA M BROOKS (SYSTEMS ADMINISTRATOR)
(541) 494-5322
Entity
Organization
Contact information
Practice address
221 W STEWART AVE, STE 110, MEDFORD, OR 97501-3647
(541) 776-9026
(541) 776-9096
Mailing address
221 W STEWART AVE, STE 110, MEDFORD, OR 97501-3647
(541) 776-9026
(541) 776-9096
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
13653
OR
Other
Enumeration date
05/23/2005
Last updated
09/17/2008
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