NPI | 1154420602 |
---|---|
Former Legal Business Name | GRIFFIN OPTOMETRIC TALEGA |
Entity Type | Organization |
Authorized Contact | PATRICK AUBURN GRIFFIN Owner 949-940-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 1154420602) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: CA 1154420602) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2012-06-01 |