| NPI | 1194976233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVANI J PATEL President 562-430-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 10548T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 10548T) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 10548T) | |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 10548T) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2011-09-26 |