| NPI | 1679749055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P. REIS Owner 360-417-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2015-04-06 |