Organization
SHASTA EYECARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HARRISON O.D. (OWNER)
(912) 506-6596
Entity
Organization
Contact information
Practice address
2655 SHASTA WAY, KLAMATH FALLS, OR 97603-4455
(541) 882-7083
(541) 882-4228
Mailing address
2655 SHASTA WAY, KLAMATH FALLS, OR 97603-4455
(541) 882-7083
(541) 882-4228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3429ATI
OR
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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