| NPI | 1972548816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN POOLE Operations Manager 206-622-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-11-29 |