| NPI | 1659441160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GILBERT Owner Sole Proprietor 425-450-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00027511) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA BG0163446) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-03-11 |