| NPI | 1194336602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAPUWA LAMOORE CHIKWINYA Owner 253-583-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-11-27 |