| NPI | 1316164965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D HANSEN President 509-927-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |