| NPI | 1295768919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JOSEPH HERBERT Owner/President 707-252-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA COR 731) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2021-01-17 |