| NPI | 1205172251 |
|---|---|
| Doing Business As | DR. WADE DEMORDAUNT, OPTOMETRIST |
| Entity Type | Organization |
| Authorized Contact | WADE DEMORDAUNT Owner 925-222-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1853) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |