Organization
MODERN EYEZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN WOODS OD (OWNER)
(503) 312-6464
Entity
Organization
Contact information
Practice address
18750 WILLAMETTE DR STE C, WEST LINN, OR 97068-1700
(503) 697-8879
Mailing address
18750 WILLAMETTE DR STE C, WEST LINN, OR 97068-1700
(503) 697-8879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3272ATI
OR
Other
Enumeration date
09/21/2011
Last updated
10/25/2011
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