| NPI | 1447765748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON KIM SUDDUTH Owner/Optometrist 206-419-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4882) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |