Philip Y Paden Eye Care Optical

NPI #1043213143 in Medford, Oregon

Provider Information

NPI Number: 1043213143
Entity Type: Organization
Organization Name: Philip Y Paden Eye Care Optical
Primary Specialty: Eyewear Supplier
Enumeration Date: May 23, 2005
Last Updated: Sep 17, 2008

Practice Location

Address: 221 W STEWART AVE
Address 2: STE 110
City: Medford
State: Oregon
ZIP Code: 97501-3647
Phone: (541) 776-9026

Authorized Official

Name: MS. VIRGINIA M BROOKS
Title: SYSTEMS ADMINISTRATOR
Phone: (541) 494-5322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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