Organization
COLUMBUS EYE ASSOCIATES P.C. INC
Active
Parent organization
LCA VISION/LASIK PLUS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LCA VISION/LASIK PLUS
Authorized official
TERRI ROUSE (DIRECTOR OF MANAGED CARE)
(513) 354-5827
Entity
Organization
Contact information
Practice address
7421 SW BRIDGEPORT RD, TIGARD, OR 97224-7707
(503) 598-7616
Mailing address
7421 SW BRIDGEPORT RD, TIGARD, OR 97224-7707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3126AT
OR
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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