| NPI | 1326194978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE TAYLOR Practice Manager 360-301-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA OD00001715) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-02-15 |