NPI | 1043488547 |
---|---|
Doing Business As | ADVANCED FAMILY VISION |
Entity Type | Organization |
Authorized Contact | KIMBERLY ANN TEDDER Optometrist Owner 805-524-1254 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13135) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |