| NPI | 1265769202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS N. JESKE President 360-352-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 6019577150010001) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2020-06-07 |