NPI | 1265607071 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRK L. THOMPSON Owner 360-452-7661 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 1267TX) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2012-11-08 |