Shasta Eyecare Associates, LLC

NPI #1215213335 in Klamath Falls, Oregon

Provider Information

NPI Number: 1215213335
Entity Type: Organization
Organization Name: Shasta Eyecare Associates, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 3, 2011
Last Updated: Nov 3, 2011

Practice Location

Address: 2655 SHASTA WAY
City: Klamath Falls
State: Oregon
ZIP Code: 97603-4455
Phone: (541) 882-7083

Authorized Official

Name: DR. RICHARD HARRISON, O.D.
Title: OWNER
Phone: (912) 506-6596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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