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 |