| NPI | 1073793113 |
|---|---|
| Doing Business As | NORTHTOWN VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH WALLACE BRAUN Principal Owner 509-482-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WA 1815) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-04-22 |