| NPI | 1396459616 |
|---|---|
| Doing Business As | RICHARDSON EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KRISTEN ELAINE DERRY Optometrist 360-892-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-11-27 |