| NPI | 1114107802 |
|---|---|
| Doing Business As | BROADWAY EYEWORKS |
| Entity Type | Organization |
| Authorized Contact | LAWRANCE G MOCK Owner 925-930-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2009-09-11 |