| NPI | 1235207127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA WU President 949-262-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10925T) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CA 10925T) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: CA 10925T) | |
| 152WP0200X Optometrist Pediatrics (Licence: CA 10925T) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-08-04 |