| NPI | 1093994089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M DAVIS Owner 619-425-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 12131TGL) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2013-10-23 |