| 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 |