OrganizationActive
Total Vision, Inc.
NPI 1104943521 · Optician · La Pine, OR
Provider details
- NPI number
- 1104943521
- Entity type
- Organization
- Primary specialty
- OpticianEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Shannon Jackman, Billing Coordinator(541) 536-7584
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
16487 Bluewood Place
Suite 2
La Pine, OR 97739
Phone: (541) 536-7584
Fax: (541) 536-8579
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2757
La Pine, OR 97739-2757
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2007-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.