| NPI | 1831330976 |
|---|---|
| Doing Business As | NORTHWEST EYECARE PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JOSEPH BOSNER Sole Member 614-486-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5291 T2200) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2012-01-17 |