| NPI | 1194031427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY JAMES SIMPFENDERFER President 209-334-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT7804TPL) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2011-09-13 |