NPI | 1295854347 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DOUGLAS BUFFINGTON Optometrist 916-452-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 5510TPA) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |