Lakeview Vision Center, LLC

NPI #1164597225 in Lakeview, Oregon

Provider Information

NPI Number
1164597225
Entity Type
Organization
Organization Name
Lakeview Vision Center, LLC
Primary Specialty
Optometrist
Enumeration Date
Nov 22, 2006
Last Updated
Nov 19, 2008

Practice Location

Address
628 N 1ST ST STE C
State
Oregon
ZIP Code
97630-1506
Phone
(541) 947-3357

Authorized Official

Name
DR. GARRY DWAYNE KAPPEL, O D
Title
OWNER
Phone
(541) 947-3357

Specialties & Taxonomy Codes

Specialty
Optometrist

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