| NPI | 1700927480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHARLES ASHBAKER President 360-695-3829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD3779) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-08-25 |