| NPI | 1295185460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TILLE Owner/Incorporator 253-970-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 5235) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |