Organization
TODAY'S VISION CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MARIN JR. OD (OWNER)
(503) 554-5555
Entity
Organization
Contact information
Practice address
901 BRUTSCHER ST STE E, NEWBERG, OR 97132-6096
(503) 554-5555
(503) 538-1896
Mailing address
901 BRUTSCHER ST STE E, NEWBERG, OR 97132-6096
(503) 554-5555
(503) 538-1896
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2591ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150665
—
OR
Enumeration date
12/03/2010
Last updated
12/03/2010
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