| NPI | 1235373275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE JENNIFER WITMEYER President/Optometrist 760-476-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: CA 12416 TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12416) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2014-06-19 |