Hersel O. Lewis PC

NPI #1679871123 in Salem, Oregon

Provider Information

NPI Number: 1679871123
Entity Type: Organization
Organization Name: Hersel O. Lewis PC
Primary Specialty: Optometrist
Enumeration Date: Mar 8, 2011
Last Updated: Mar 8, 2011

Practice Location

Address: 3400 STATE ST
Address 2: G-770
City: Salem
State: Oregon
ZIP Code: 97301-5861
Phone: (503) 585-6700

Authorized Official

Name: HERSEL ORRIN LEWIS, OD
Title: PRESIDENT
Phone: (503) 585-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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