NPI 1043213143

Philip Y Paden Eye Care Optical

Organisation Eyewear Supplier Medford, OR

Practice location

Address: 221 W Stewart Ave STE 110, Medford, OR 97501-3647
Phone: (541) 776-9026
Fax: (541) 776-9096

Authorised official

Name: Virginia M Brooks
Title: Systems Administrator
Phone: (541) 494-5322

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 13653 (OR)

Other Eyewear Supplier providers in Oregon →

Registry record

NPI: 1043213143
Entity type: Organization
NPI issued: 23 May 2005
Record last updated: 17 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.