| NPI | 1124159736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L BATOR Office Manager 509-765-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD000029599) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00002028) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2012-05-11 |