| NPI | 1124493762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J. GOLDSTEIN Owner 210-520-6353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2024-09-11 |