Gregory C Walther Optometrist PC

NPI #1578852695 in Roseburg, Oregon

Provider Information

NPI Number: 1578852695
Entity Type: Organization
Organization Name: Gregory C Walther Optometrist PC
Primary Specialty: Optometrist
Enumeration Date: Mar 29, 2011
Last Updated: Mar 29, 2011

Practice Location

Address: 2125 NW STEWART PKWY
City: Roseburg
State: Oregon
ZIP Code: 97471-1693
Phone: (541) 957-8537

Authorized Official

Name: DR. GREGORY CARL WALTHER
Title: PRESIDENT
Phone: (541) 957-8537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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