| NPI | 1225150147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KOJI MIYAMOTO Optometrist, President 818-486-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9309) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |