NPI | 1629658331 |
---|---|
Doing Business As | BALLARD OPTICAL |
Entity Type | Organization |
Authorized Contact | HARSHANI BUDDIKA AMARAWEERA Owner 206-910-3838 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2021-04-08 |
Last Update Date | 2021-04-08 |