| NPI | 1023175163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ALLEN DONAGHEY Vice President 509-662-9671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 1494) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2023-03-25 |