| NPI | 1376748368 |
|---|---|
| Doing Business As | SOUTH COUNTY EYE CARE OPTOMETRIC GROUP |
| Entity Type | Organization |
| Authorized Contact | JUSTIN MICHAELS CEO 949-454-1064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT12615T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT12669T) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-11-13 |