NPI | 1003329822 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY ALLEN THOMPSON Doctor Of Optometry 509-954-0887 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60670127) |
Enumeration Date | 2017-11-15 |
Last Update Date | 2022-01-31 |