| NPI | 1376115501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON LAU President 310-570-2508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WP0200X Optometrist, Pediatrics | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2023-04-12 |