| NPI | 1417943556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE I LABISSONIERE Office Manager 509-966-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3993) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| 152W00000X Optometrist (Licence: WA 1006) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2013-01-03 |