Organization
GRAHAM A BALCER, OD, PC
Active
Other names
La Pine Eyecare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRAHAM A BALCER O.D. (OWNER)
(541) 536-2911
Entity
Organization
Contact information
Practice address
16410 THIRD STREET, SUITE A, LA PINE, OR 97739-0000
(541) 536-2911
(541) 536-2913
Mailing address
PO BOX 3120, LA PINE, OR 97739-3120
(541) 536-2911
(541) 536-2913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3178ATI
OR
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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