| NPI | 1386926657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIN K TAGUCHI O PT Ometrist/President 425-232-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3686) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |