| NPI | 1649501651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDE ANN CHRISTENSEN Office Manager 509-820-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ AZ0037) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2023-10-06 |