NPI | 1255566014 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A VAN EVERY President 831-426-7172 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT5610) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13611) |
Enumeration Date | 2009-05-22 |
Last Update Date | 2010-01-13 |