Organization
EYEGLASS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM FICKES O.D. (OWNER)
(541) 471-2070
Entity
Organization
Contact information
Practice address
135 NE TERRY LN, GRANTS PASS, OR 97526-4801
(541) 471-2070
(541) 582-2600
Mailing address
744 FOREST HILLS DR, ROGUE RIVER, OR 97537-9664
(541) 471-2070
(541) 582-2600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4030T
OR
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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