| NPI | 1265563175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID V PRATT Owner 253-627-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |