| NPI | 1982935953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK COHN Doctor 425-746-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD 0001034TX) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WA OD0001034TX) |
| 152WS0006X Optometrist, Sports Vision (Licence: WA OD0001034TX) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: WA OD0001034TX) | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |