NPI | 1003361270 |
---|---|
Doing Business As | FAMILY TREE OPTOMETRIC |
Entity Type | Organization |
Authorized Contact | ERIN LOUISE IGNE Optometrist 949-733-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT14967TLG) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
152WV0400X Optometrist, Vision Therapy | |
Enumeration Date | 2016-08-17 |
Last Update Date | 2022-01-10 |