| NPI | 1184861163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WADE WHITE O PT Ometrist 559-584-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA COR958) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2014-06-30 |