| NPI | 1255859070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUSMITA RAHMAN Managing Optometrist 619-549-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5326T) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2022-07-21 |