| NPI | 1043577968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE FAST Optometrist/President 206-387-8451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD 60093517) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |