NPI | 1477612463 |
---|---|
Doing Business As | POULSBO EYECARE CENTER |
Entity Type | Organization |
Authorized Contact | RAY G. HEDAHL President 360-779-2336 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 601379904) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2021-06-11 |