| NPI | 1447590674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA NGUYEN Optometric Physician 253-476-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA OD60213875) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2014-02-07 |