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Organization

VISION WELLNESS, INC

Active
Other names
Lifetime Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID HACKETT OD (PRESIDENT)
(316) 871-9273
Entity
Organization

Contact information

Practice address
4765 VILLAGE PLAZA LOOP, SUITE 100, EUGENE, OR 97401-6676
(541) 342-3100
(541) 342-6153
Mailing address
4765 VILLAGE PLAZA LOOP, SUITE 100, EUGENE, OR 97401-6676
(541) 342-3100
(541) 342-6153

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3639ATI
OR

Other

Enumeration date
12/16/2015
Last updated
12/16/2015
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