| NPI | 1013074160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE ALYCE BONEY CEO Optician 650-965-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: CA D1917) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: CA D1917) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-08-22 |