| NPI | 1902985682 |
|---|---|
| Former Legal Business Name | VISION EXPRESS |
| Entity Type | Organization |
| Authorized Contact | BRUCE R WALLACE Optometrist/Owner 253-941-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 602 513 684) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |