| NPI | 1700277803 |
|---|---|
| Doing Business As | KITSAP OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS FAIRBANKS Manager/Member 360-698-1685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-11 |