Organization
MARK BREEDEN OD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALBERT BREEDEN OD (OPTOMETRIST)
(541) 840-3168
Entity
Organization
Contact information
Practice address
11500 HANNON RD, EAGLE POINT, OR 97524-9598
(541) 826-3070
(541) 826-3080
Mailing address
11500 HANNON RD, EAGLE POINT, OR 97524-9598
(541) 826-3070
(541) 826-3080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3410ATI
OR
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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