| NPI | 1235356411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RUDOLPH BISSON O PT Ometrist 562-439-0486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT9206) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-12-06 |