| NPI | 1124866959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRUCE MARK Owner 408-739-6200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |