| NPI | 1205192986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO LOUIS ALCORTA President/Board Certified Ocularist 559-252-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist (Licence: CA 89-218-14) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 89-218-14) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-05-01 |