| 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 |