Organization
FAMILY FOCUS EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS JOHNATHAN TAYLOR (OWNER)
(503) 585-6700
Entity
Organization
Contact information
Practice address
3400 STATE ST STE G770, SALEM, OR 97301-7014
(503) 585-6700
(503) 585-3315
Mailing address
2859 EAGLE EYE AVE NW, SALEM, OR 97304-4366
(503) 949-5050
(503) 585-3315
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
3452ATI
OR
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61294
—
OR
Enumeration date
03/20/2012
Last updated
07/08/2021
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