| NPI | 1184985558 |
|---|---|
| Doing Business As | COAST OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL A BLAZE Owner 714-292-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2016-10-28 |