| NPI | 1639248354 |
|---|---|
| Other Name | LOWER COLUMBIA OPTICAL |
| Entity Type | Organization |
| Authorized Contact | JAMES E HULBERT Owner 360-423-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-11-05 |