| NPI | 1720279649 |
|---|---|
| Doing Business As | STATE VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | LORI A YOUNGMAN President 360-693-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00003133) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |