| NPI | 1043482011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JOY HUFFMAN Administrator 360-823-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2011-03-17 |