| NPI | 1053637702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT MICHELS President 509-994-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD60132733) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2015-11-06 |