| NPI | 1184992281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PAUL LIKENS Owner 949-857-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 7839T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 8038T) |
| 152W00000X Optometrist (Licence: CA 14184T) | |
| 152W00000X Optometrist (Licence: CA 8049T) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |