| NPI | 1083890701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TURNER Credentialing Manager 949-688-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0009X Ophthalmology, Glaucoma Specialist | |
| 207WX0107X Ophthalmology, Retina Specialist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 207WX0120X Ophthalmology, Cornea and External Diseases Specialist | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2023-11-09 |