| NPI | 1548713563 |
|---|---|
| Former Legal Business Name | AESTHETIC EYE ASSOCIATES ASC |
| Entity Type | Organization |
| Authorized Contact | JANET JORDAN Administrator 425-216-7200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA ASF.FS.60574719) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: WA ASF.FS.60574719) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-29 |