| NPI | 1073740486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN W OWEN Optometrist/Business Manager 509-585-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA OD60073002) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-08-21 |