| NPI | 1255514642 |
|---|---|
| Doing Business As | EYEDENTITY VISION OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | CARRIE LEE President 415-334-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: CA 12604) |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2021-10-11 |