| NPI | 1366858417 |
|---|---|
| Doing Business As | ISSAQUAH OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | ERIC CHANG Optometric Physician 917-727-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60035981) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2017-08-10 |