| 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 |