| NPI | 1184752198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA BARGHOUTI President 360-882-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3034) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 2496ATI) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-04-24 |