| NPI | 1992995112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE B. SLAVIN Owner / Optometrist 360-885-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD00001020) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-12-26 |