Organization
VISTA EYE CARE, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAPHOL ROS OD (PRESIDENT)
(206) 227-2750
Entity
Organization
Contact information
Practice address
17801 108TH AVE SE STE A, RENTON, WA 98055-6420
(206) 227-2750
Mailing address
17801 108TH AVE SE STE A, RENTON, WA 98055-6420
(206) 227-2750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1898
WA
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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