| NPI | 1932604220 |
|---|---|
| Doing Business As | EYETIQUE -SHADYSIDE |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CHUDNER Owner 360-620-1186 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-11-14 |