Organization
ESTES ENTERPRIZES, LLC
Active
Other names
Custom Eyes of Albany
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYLOU ESTES (PRACTICE ADMINISTRATOR)
(541) 928-2020
Entity
Organization
Contact information
Practice address
904 PACIFIC BLVD SE, ALBANY, OR 97321-3149
(541) 928-2020
(541) 928-2043
Mailing address
904 PACIFIC BLVD SE, ALBANY, OR 97321-3149
(541) 928-2020
(541) 928-2043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OR1225ATI
OR
Other
Enumeration date
01/11/2012
Last updated
04/04/2012
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