Organization
EUGENE EYE CLINIC LLC
Active
Other names
Willamette Spectacle Shop
Organization subpart
No
Provider details
NPI number
Authorized official
SUE STONEBURNER (OPTICIAN)
(541) 683-3746
Entity
Organization
Contact information
Practice address
2460 WILLAMETTE ST, EUGENE, OR 97405-3169
(541) 683-3746
(541) 683-3747
Mailing address
2460 WILLAMETTE ST, EUGENE, OR 97405-3169
(541) 683-3746
(541) 683-3747
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
051837-85
OR
Other
Enumeration date
05/22/2015
Last updated
05/29/2015
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