| NPI | 1215955141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LAO SENG President 408-293-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10646T) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-03-28 |