| NPI | 1992880553 |
|---|---|
| Doing Business As | NORTHWEST EYE CLINIC OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | VINCENT ERIBERTO MATTEUCCI Physician 360-733-4800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-02-24 |