NPI | 1093147910 |
---|---|
Doing Business As | CUSTOM EYES OPTOMETRY |
Entity Type | Organization |
Authorized Contact | JENNIFER J EVERETT Optometrist 916-786-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12400) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2013-08-01 |