| NPI | 1659555860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MICHAEL JUBIE Owner 425-821-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003740) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2009-04-23 |