| 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 |