NPI | 1740412105 |
---|---|
Doing Business As | WESTSIDE EYE CENTER |
Entity Type | Organization |
Authorized Contact | SHAWN PHILIP BRITTAIN President 360-694-0760 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3536) |
Enumeration Date | 2009-08-19 |
Last Update Date | 2011-01-20 |