| NPI | 1598941890 |
|---|---|
| Other Name | PUYALLUP VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | GARY D LINTON Doctor 253-845-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00001704) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2010-07-13 |