NPI | 1982911335 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN L NGUYEN Owner/Provider 360-303-0724 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60101533) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60155816) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2010-09-07 |