NPI | 1972851020 |
---|---|
Doing Business As | SPOKANE OPTICAL COMPANY |
Entity Type | Organization |
Authorized Contact | RANDALL K JACOBSON Physician 509-456-0107 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WA 602617024) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2015-01-20 |