NPI | 1447363296 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA ANTHONY COCKE' CEO 253-472-5813 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: WA 3140) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2008-06-26 |