| NPI | 1376894782 |
|---|---|
| Doing Business As | SPECTRUM EYE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. WILHELM Administrator/Controller 408-252-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 97-675847 00002 GH) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT 13829 TLG) |
| 207W00000X Ophthalmology (Licence: CA G26839) | |
| 207W00000X Ophthalmology (Licence: CA A69913) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |