Organization
REX JOHNSON
Active
Other names
Eagle Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX JOSEPH JOHNSON (OWNER/OPTICAN)
(541) 889-5511
Entity
Organization
Contact information
Practice address
269 SW 19TH ST, ONTARIO, OR 97914-1972
(541) 889-5511
(541) 889-9911
Mailing address
269 SW 19TH ST, ONTARIO, OR 97914-1972
(541) 889-5511
(541) 889-9911
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
11/12/2010
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