| NPI | 1154746345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY K. SO President 909-982-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10554T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 10554T) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |