| NPI | 1295190023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA TRAN Optometrist 206-829-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60155820) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 3181TX) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2021-10-25 |