| NPI | 1538316658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERSEDEH SAFARI SNIDER Optometrist 360-253-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA WA3996) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OR 3134AT) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |