| NPI | 1164514568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS GENE MILLER Md 619-442-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT00009730TPA) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G52627) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-09-11 |