| NPI | 1871871558 |
|---|---|
| Doing Business As | AMERICAN FAMILY VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ROBERTS Optician 360-491-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 603112974) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: WA 603112974) |
| 152WP0200X Optometrist, Pediatrics (Licence: WA 603112974) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: WA 603112974) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2018-03-28 |