NPI | 1316468176 |
---|---|
Doing Business As | OPTOMETRIC CENTER AND EYEWEAR GALLERIA |
Entity Type | Organization |
Authorized Contact | LYNDSY FAULKNER Accounts Manager 925-743-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14540TLG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 5287T) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 14540TLG) | |
152WP0200X Optometrist, Pediatrics (Licence: CA 14540TLG) | |
Enumeration Date | 2017-07-03 |
Last Update Date | 2022-07-21 |