| NPI | 1215794755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA THI TRINH Owner 623-877-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2025-11-11 |