NPI | 1760601488 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DALE SCHRADER President 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 | 2024-07-31 |