PHILIP Y PADEN EYE CARE OPTICAL NPI 1043213143

NPI Information

PHILIP Y PADEN EYE CARE OPTICAL is an eyewear supplier in Medford, OR. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PHILIP Y PADEN EYE CARE OPTICAL NPI is 1043213143. The provider is registered as an organization entity type.
The provider Is Doing Business As Paden Eye Care Optical.

The provider's business location address is:

221 W STEWART AVE
STE 110
MEDFORD, OR
ZIP 97501-647
Phone: (541) 776-9026
Fax: (541) 776-9096

The provider's authorized official is Virginia M Brooks .
The authorized official title is Systems Administrator and has the following contact phone number (541) 494-5322.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 9/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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