NPI | 1144405309 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT AVERY Chief Executive Officer 805-963-1648 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2008-01-07 |
Last Update Date | 2022-07-20 |