Organization
VINCENT VAN HOUTEN, O.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT DUANE VAN HOUTEN O.D. (OPTOMETRIST)
(541) 469-5556
Entity
Organization
Contact information
Practice address
325 5TH ST, LOCATED IN THE OPTICAL SHOPPE, BROOKINGS, OR 97415-9658
(541) 469-5556
(541) 469-2875
Mailing address
325 5TH ST, LOCATED IN THE OPTICAL SHOPPE, BROOKINGS, OR 97415-9658
(541) 469-5556
(541) 469-2875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2990T
OR
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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