| NPI | 1083021075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA HAUFF President/CEO 509-454-4143 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2024-04-01 |