NPI | 1053825570 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD MICHAEL PETERS Owner/President 310-834-5464 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 4741T) |
Enumeration Date | 2017-11-20 |
Last Update Date | 2017-11-20 |