| NPI | 1386770865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GLENN SIMONS Owner 818-871-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA 7352T) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |