NPI | 1386633345 |
---|---|
Doing Business As | PACIFIC OPTICAL |
Entity Type | Organization |
Authorized Contact | DAVID JC OMOVCHOC Owner 360-779-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA MD00029555) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2008-06-19 |