| NPI | 1205478559 |
|---|---|
| Doing Business As | LIGHTHOUSE LOW VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANNA SHAGAS O PT Ometrist 206-229-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-04-27 |