| NPI | 1053578575 |
|---|---|
| Doing Business As | EYECARE OF SAN DIEGO |
| Entity Type | Organization |
| Authorized Contact | JOHN E BOKOSKY Owner 619-296-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA G51651) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |