| NPI | 1043321508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA HATCH Manager 509-248-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: WA DO00001728) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA 602255023) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-01-03 |