NPI | 1447464573 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL VENEDICT OSETINSKY President Owner 425-252-2333 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: WA MD00029567) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD000029567) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2019-06-11 |