| NPI | 1639316490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET IRENE GORDON Ophthalomology 1360-694-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA MD 00017326) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |