NPI | 1316169709 |
---|---|
Doing Business As | CLINTWORTH OPTICAL |
Entity Type | Organization |
Authorized Contact | PAUL W DONNELLY Owner 360-352-3140 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA DO00000478) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2008-06-13 |