| NPI | 1083905558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOUAD MELAMED President 323-655-6582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-12 |