| NPI | 1013449297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY Y REED Billing Manager 661-843-7616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WP0200X Optometrist, Pediatrics | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |