Ochoco Vision Source LLP

NPI #1134172687 in Prineville, Oregon

Provider Information

NPI Number: 1134172687
Entity Type: Organization
Organization Name: Ochoco Vision Source LLP
Primary Specialty: Optometrist
Enumeration Date: May 18, 2006
Last Updated: Jul 22, 2024

Practice Location

Address: 340 NW BEAVER ST
City: Prineville
State: Oregon
ZIP Code: 97754-1836
Phone: (541) 416-2020

Authorized Official

Name: MRS. ALISHIA D HOLLAND
Title: BILLING AGENT
Phone: (541) 416-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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