| NPI | 1144416298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY JOSEPH WEISS Clinical Administrator 509-735-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2008-01-08 |