NPI | 1114249026 |
---|---|
Doing Business As | MONTE VISTA OPTOMETRY |
Entity Type | Organization |
Authorized Contact | TREVOR K IRISH Optometrist 209-634-8591 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13477T) |
Enumeration Date | 2010-02-18 |
Last Update Date | 2013-11-20 |