Organization
POLK VISION CLINICS INC.
Active
Other names
Dallas Vision Clinic, Waldport Eyecare, Central Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY WADE KNOWLES OD (PROVIDER)
(503) 623-9233
Entity
Organization
Contact information
Practice address
506 MAIN ST, DALLAS, OR 97338-1915
(503) 623-9233
(503) 623-9233
Mailing address
506 MAIN ST, DALLAS, OR 97338-1915
(503) 623-9233
(503) 623-9233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1547T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024687
—
OR
05
—
500641229
—
OR
05
—
500690159
—
OR
05
—
500695313
—
OR
Enumeration date
01/22/2008
Last updated
09/18/2024
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