| NPI | 1194864868 |
|---|---|
| Doing Business As | BROADWAY EYECARE CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD G. BRAUTIGAM Owner Optometrist 509-928-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00000930) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2014-12-29 |