| NPI | 1114190790 |
|---|---|
| Doing Business As | PACIFIC OPTICAL |
| Entity Type | Organization |
| Authorized Contact | ALISON D FUJISAKI Owner 360-253-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3169T) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-05-19 |