Organization
GREGORY C WALTHER OPTOMETRIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CARL WALTHER (PRESIDENT)
(541) 957-8537
Entity
Organization
Contact information
Practice address
2125 NW STEWART PKWY, ROSEBURG, OR 97471-1693
(541) 957-8537
Mailing address
17804 DIXONVILLE RD, ROSEBURG, OR 97470-9311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1368ATI
OR
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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