| NPI | 1205198496 |
|---|---|
| Other Name | BLINK OPTICAL AT THE POLYCLINIC MADISON CENTER |
| Entity Type | Organization |
| Authorized Contact | LLOYD A. DAVID CEO 206-860-4401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2013-01-02 |