| NPI | 1235598830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAJAN JOAQUIN SOARES President 209-826-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT9569TPG) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |