Organization
PERSONALEYES, LLC
Active
Other names
Willow Creek Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
TODD SHELDON OD, MBA, FAAO (PRESIDENT)
(541) 548-2488
Entity
Organization
Contact information
Practice address
14740 NW CORNELL RD, PORTLAND, OR 97229-5496
(503) 645-8002
(503) 645-9455
Mailing address
1000 SW INDIAN AVE, REDMOND, OR 97756-3039
(541) 548-2488
(541) 548-5334
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2823ATI
OR
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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