| NPI | 1952530784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SUZANNE FADHL-POHL President 206-443-0320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3891 TX) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2013-01-24 |