| NPI | 1205955945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C HARTZELL Owner O PT Ician 209-669-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CA D6458) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |