| NPI | 1912131012 |
|---|---|
| Doing Business As | PACIFIC NORTHWEST EYE CARE |
| Entity Type | Organization |
| Authorized Contact | BEN HAROLD WONG Co Owner 360-570-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |