| NPI | 1770606089 |
|---|---|
| Other Name | ADVANCED PUYALLUP EYECARE |
| Entity Type | Organization |
| Authorized Contact | JASON J CHUNG O PT Ometrist 253-435-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 3954) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-07-24 |