| NPI | 1295510519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEMIRAMIS MAHMOUDI Optometrist 425-777-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2024-04-18 |