Organization
HERSEL O. LEWIS PC
Active
Other names
Family Focus Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
HERSEL ORRIN LEWIS OD (PRESIDENT)
(503) 585-6700
Entity
Organization
Contact information
Practice address
3400 STATE ST, G-770, SALEM, OR 97301-5861
(503) 585-6700
Mailing address
3400 STATE ST, G-770, SALEM, OR 97301-5861
(503) 585-6700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2345ATI
OR
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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