NPI | 1265577423 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L SAKAZAKI Office Manager 916-443-3524 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2013-02-25 |