| 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 |