Organization
TOTAL VISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON LEE JACKMAN (BILLING COORDINATOR)
(541) 536-7584
Entity
Organization
Contact information
Practice address
16487 BLUEWOOD PLACE, SUITE 2, LA PINE, OR 97739
(541) 536-7584
(541) 536-8579
Mailing address
PO BOX 2757, LA PINE, OR 97739-2757
(541) 536-7584
(541) 536-8579
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
09/25/2007
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