| NPI | 1154537066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARTER SHRUM Owner 858-454-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CA D621) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |