| NPI | 1154337996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES OTOUPAL Board Chairman 206-525-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: WA OD00003043) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-10-28 |