NPI | 1174063465 |
---|---|
Doing Business As | STOCKDALE OPTOMETRY |
Entity Type | Organization |
Authorized Contact | MICHAEL AOYAMA Owner/Optometrist 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 |