| NPI | 1336210483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MANSKE Office Manager 253-838-5428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00001448TX) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2020-08-22 |