| 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 |