Waldport Eye Care LLC

NPI #1366633679 in Waldport, Oregon

Provider Information

NPI Number: 1366633679
Entity Type: Organization
Organization Name: Waldport Eye Care LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 5, 2007
Last Updated: Mar 13, 2008

Practice Location

Address: 525 NW WILLOW
City: Waldport
State: Oregon
ZIP Code: 97394
Phone: (541) 563-4100

Authorized Official

Name: DR. KEVIN DEAN BLAIR, OD
Title: MEMBER
Phone: (541) 563-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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