Organization
DAVID A DROTZMANN OD PC
Active
Other names
Lifetime Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A DROTZMANN O.D. (OPTOMETRIST)
(541) 567-6623
Entity
Organization
Contact information
Practice address
1060 W ELM STREET, SUITE 135, HERMISTON, OR 97838-2724
(541) 567-6623
(541) 564-0277
Mailing address
1060 W ELM STREET, SUITE 135, HERMISTON, OR 97838-2724
(541) 567-6623
(541) 564-0277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2709ATI
OR
152W00000X
Optometrist
OD00003278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295499
—
OR
Enumeration date
12/18/2007
Last updated
08/11/2010
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