NPI | 1104078062 |
---|---|
Other Name | PAUL A. KIYAN |
Entity Type | Organization |
Authorized Contact | PAUL A KIYAN Owner 909-383-1053 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 5891T) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 5891T) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2008-10-23 |