NPI | 1568799062 |
---|---|
Doing Business As | LAKEMONT EYE CARE |
Entity Type | Organization |
Authorized Contact | MICHAEL DENNIS ERICKSON Optometrist/Owner 425-746-0908 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA OD00003260) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2009-11-05 |