| NPI | 1184800799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE K BRESLIN Accounts Receivable Manager 707-588-7946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2022-07-21 |