| NPI | 1902960347 |
|---|---|
| Doing Business As | RENTON VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | PAUL SCOTT JENSEN President 425-255-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 1722 TX) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-07-16 |