| NPI | 1295870095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR ESPINOZA Billing Supervisor 866-325-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-01-14 |