| NPI | 1780866053 |
|---|---|
| Doing Business As | DBA BROADWAY OPTICAL |
| Entity Type | Organization |
| Authorized Contact | GLENN P HOOT President 360-533-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA md32157) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |