| NPI | 1003419821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRIE BABINGTON Billing Manager 805-987-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy |
| 207W00000X Ophthalmology | |
| 207WX0009X Ophthalmology, Glaucoma Specialist | |
| 207WX0107X Ophthalmology, Retina Specialist | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |