| NPI | 1659426211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN RICHARD CARLSON Owner Ophthalmologist 206-526-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA md00014693) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA od00002087) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-09-17 |