| NPI | 1023346699 |
|---|---|
| Doing Business As | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | SHERRY GOULD Office Manager 408-378-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 5902T) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |