| NPI | 1417123472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S AHRENS Owner/Optician 360-794-5941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |