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 |