Organization
WALLOWA VALLEY EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TROY BAILEY (O.D.)
(541) 426-3413
Entity
Organization
Contact information
Practice address
519 W. NORTH STREET, ENTERPRISE, OR 97828-1168
(541) 426-3413
(541) 426-4489
Mailing address
PO BOX L, ENTERPRISE, OR 97828-0227
(541) 426-3413
(541) 426-4889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2557ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275377
—
OR
Enumeration date
11/22/2011
Last updated
10/05/2012
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