| NPI | 1134140346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M VAN DUYN Practice Manager 916-452-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-03-04 |