| NPI | 1699950105 |
|---|---|
| Doing Business As | VAN CLEVE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | CHARLIE VAN CLEVE Vice President 360-679-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: WA 601-291-906) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-07-23 |