| NPI | 1629337332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY D SMICK Owner/Optometrist 509-327-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA OD 00001263) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2015-08-05 |