Organization
DRS MAUCK & PERKINS OPT PC
Active
Other names
MId Columbia Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY W MAUCK OD (PRESIDENT)
(541) 296-2911
Entity
Organization
Contact information
Practice address
415 WASHINGTON ST, THE DALLES, OR 97058-2215
(541) 296-2911
(541) 296-2224
Mailing address
PO BOX 883, THE DALLES, OR 97058-0883
(541) 296-2911
(541) 296-2224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/15/2005
Last updated
01/24/2024
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