NPI | 1760601488 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY K ROSE Office Manager 425-252-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 0869) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 3029) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2008-09-17 |