| NPI | 1124222997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL M. EVERITT Practice Owner, Partner 951-684-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 5187T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 10316T) |
| 152W00000X Optometrist (Licence: CA 13309T) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2009-06-04 |