| NPI | 1316178080 |
|---|---|
| Doing Business As | OPTIC GALLERY |
| Entity Type | Organization |
| Authorized Contact | SHAUNA MAZZULLA Owner 253-867-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3661TX) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2017-03-06 |