NPI 1104943521

Total Vision, INC.

Organisation Optician La Pine, OR

Practice location

Address: 16487 Bluewood Place Suite 2, La Pine, OR 97739
Phone: (541) 536-7584
Fax: (541) 536-8579
Mailing address: PO Box 2757, La Pine, OR 97739-2757

Authorised official

Name: Shannon Lee Jackman
Title: Billing Coordinator
Phone: (541) 536-7584

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Oregon →

Registry record

NPI: 1104943521
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 25 Sep 2007

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.