| NPI | 1851537021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J DAVIS Owner 509-529-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 00001216) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 00001578) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |