| NPI | 1073709325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT G LEAVITT Member 425-450-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00028489) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 00003925) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2014-03-11 |