NPI | 1083894232 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM D GOLDSTONE President 818-708-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11051) |
Enumeration Date | 2007-11-05 |
Last Update Date | 2011-01-12 |