| NPI | 1891935177 |
|---|---|
| Other Name | ISSAQUAH OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK J JENSEN President 425-392-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 1820) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-05-13 |