| NPI | 1972797587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL HUARD Single Member P LLC 360-452-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3184TX) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA 3184TX) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2010-12-27 |