| NPI | 1043475627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULES R JACKSON Billing Operations Director 530-891-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 208D00000X General Practice | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2013-08-28 |