NPI | 1407214737 |
---|---|
Entity Type | Organization |
Authorized Contact | IDAAYU R JENISCH Managing Member 253-350-1437 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD60195908) |
Enumeration Date | 2016-02-01 |
Last Update Date | 2016-02-01 |