| NPI | 1356483911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D KULLAS Owner 360-676-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00012453) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00001938) |
| 207W00000X Ophthalmology (Licence: WA MD00042140) | |
| 207W00000X Ophthalmology (Licence: WA OP00002031) | |
| 207W00000X Ophthalmology (Licence: WA MD00035922) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-03-25 |