| NPI | 1033358205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDIA OU Optometrist 626-393-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 12911) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |