NPI | 1114948866 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD LEE SILVER Owner 310-829-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT6805TPA) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT9103TPA) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2014-06-19 |