Organization
VISION PERFORMANCE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A HACKETT OD (MEMBER)
(541) 342-3100
Entity
Organization
Contact information
Practice address
4765 VILLAGE PLAZA LOOP STE 200, EUGENE, OR 97401-6676
(541) 342-3100
Mailing address
4765 VILLAGE PLAZA LOOP STE 200, EUGENE, OR 97401-6676
(541) 342-3100
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/23/2019
Last updated
01/23/2019
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