NPI | 1194771576 |
---|---|
Entity Type | Organization |
Authorized Contact | RODGER D. BODOIA President 360-456-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 152W00000X Optometrist |
207W00000X Ophthalmology | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2020-02-08 |