| NPI | 1215176334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNET L CALVERT Optometric Physician 509-946-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3180) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |