NPI | 1407804552 |
---|---|
Other Name | OPTOMETRIC PHYSICIANS NW |
Entity Type | Organization |
Authorized Contact | BRAD D BEARDEN Owner 360-676-4030 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00003766) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2023-07-25 |