| NPI | 1104851690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C SULLIVAN President 509-547-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 38) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-06-22 |