| NPI | 1306877261 |
|---|---|
| Other Name | NORTHEAST AL EYE SURGERY |
| Entity Type | Organization |
| Authorized Contact | CANDICE B DAVIS Chief Revenue Cycle Officer 916-990-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AL 5650) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-01-22 |