| NPI | 1174063465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AOYAMA Owner/O PT Ometrist 661-831-8952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15131TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12978TPL) |
| 152W00000X Optometrist (Licence: CA 5732TPL) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2023-12-20 |