| NPI | 1568471001 | 
|---|---|
| Doing Business As | EASTSIDE VISION CARE | 
| Entity Type | Organization | 
| Authorized Contact | SUSAN WYNNE Owner 425-882-2923  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management | 
| Additional Taxonomies | 152W00000X Optometrist | 
| Enumeration Date | 2006-08-05 | 
| Last Update Date | 2025-05-06 |