Lighthouse Vision Care, P.c.

NPI #1235325176 in Tillamook, Oregon

Provider Information

NPI Number: 1235325176
Entity Type: Organization
Organization Name: Lighthouse Vision Care, P.c.
Primary Specialty: Optometrist
Enumeration Date: Sep 24, 2007
Last Updated: Sep 24, 2007

Practice Location

Address: 310 STILLWELL AVE
City: Tillamook
State: Oregon
ZIP Code: 97141-2119
Phone: (503) 842-6363

Authorized Official

Name: DR. RAYMOND K DEHAAN, O.D.
Title: OPTOMETRIST/PRESIDENT
Phone: (503) 842-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist	152W00000X	Primary

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