Provider First Line Business Practice Location Address:
FT. LEWIS OPTOMETRY CLINIC
Provider Second Line Business Practice Location Address:
BLDG. 202
Provider Business Practice Location Address City Name:
FT. LEWIS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-964-4140
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/26/2008