| NPI | 1245281732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENA BERI Owner President 360-817-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00037978) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD00045761) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-01-25 |