| NPI | 1356756464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J MICHELSEN Owner/Optometrist 925-449-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13574TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13138T) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |