| NPI | 1689175036 |
|---|---|
| Doing Business As | APPLE VALLEY EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON MARK LARSEN Optometrist/Owner 509-966-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60728167) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |