Individual
ZACHARY WILLITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8495 CRATER LAKE HWY BLDG 212, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
1453 CAROLYN CIR, MEDFORD, OR 97504-4743
(541) 840-3550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4540
OR
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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