NPI | 1013249986 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLAN BRENNER President/CEO 707-523-3222 |
Organization Subpart ? | No |
Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 8817T) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2015-02-10 |