| NPI | 1992986327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY KAY DAVIS Accounts And Insurance Manager 509-327-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 3101TX) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2008-04-20 |