Organization
EAGLE EYE VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEIRSTEN DANEE EAGLES O.D. (OPTOMETRIST)
(503) 385-8361
Entity
Organization
Contact information
Practice address
4048 RIVER ROAD NORTH, KEIZER, OR 97303
(503) 385-8361
(503) 385-8364
Mailing address
4048 RIVER RD N, KEIZER, OR 97303-5501
(503) 385-8361
(503) 385-8364
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3288ATI
OR
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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