| NPI | 1083757322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L AVERY CEO 661-325-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-07-20 |