NPI | 1972725059 |
---|---|
Doing Business As | GRANDRIDGE EYE CLINIC |
Entity Type | Organization |
Authorized Contact | KENDAL RAE PIATT Owner 509-736-0710 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WA 3907tx) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2014-07-15 |