| NPI | 1194994350 |
|---|---|
| Former Legal Business Name | KENT MERIDIAN FAMILY EYECARE |
| Entity Type | Organization |
| Authorized Contact | RICHARD S GREEN Owner 253-631-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-22 |