| NPI | 1518560184 |
|---|---|
| Doing Business As | EYE 5 OPTICAL |
| Entity Type | Organization |
| Authorized Contact | KORY BOTELHO CEO 206-575-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-06-22 |