| NPI | 1962690701 |
|---|---|
| Other Name | TWIN HARBORS OPTICAL |
| Entity Type | Organization |
| Authorized Contact | SUSAN RUYLE Owner/Operator 360-533-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD28344) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD60310191) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2014-04-28 |