| NPI | 1225371255 | 
|---|---|
| Doing Business As | EYETIQUE -CRANBERRY | 
| Entity Type | Organization | 
| Authorized Contact | BENJAMIN CHUDNER Owner 360-620-1186 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 152W00000X Optometrist | 
| Enumeration Date | 2013-03-28 | 
| Last Update Date | 2023-11-14 |