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Organization

JOHN DAY EYE CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY B HABERLY (SECRETARY)
(541) 575-1819
Entity
Organization

Contact information

Practice address
401 W MAIN ST, SUITE A, JOHN DAY, OR 97845-1075
(541) 575-1819
(541) 575-0965
Mailing address
401 W MAIN ST, SUITE A, JOHN DAY, OR 97845-1075
(541) 575-1819
(541) 575-0965

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3268ATI
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023687
OR
Enumeration date
08/17/2012
Last updated
08/17/2012
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