| NPI | 1336789296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE TRAN CHI Optometrist 626-683-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2022-05-26 |