Organization
FORESIGHT OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SCOTT GLANTZ M.D. (PRESIDENT)
(503) 338-3803
Entity
Organization
Contact information
Practice address
2055 EXCHANGE ST, SUITE 230, ASTORIA, OR 97103-3419
(503) 338-3803
Mailing address
2055 EXCHANGE ST, SUITE 230, ASTORIA, OR 97103-3419
(503) 338-3803
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
01/25/2008
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