| NPI | 1134524416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE M SIMPSON Owner/Optometrist 360-480-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60287842) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |