| NPI | 1124035159 |
|---|---|
| Doing Business As | FAMILY OPTICAL I |
| Entity Type | Organization |
| Authorized Contact | PATRICIA AGUILERA Chief Executive Officer 510-535-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000708) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-12-10 |