| NPI | 1194883017 |
|---|---|
| Doing Business As | FAMILY EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DUANE L JACKSON Owner 253-941-7074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00002095) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00002039) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-06-04 |