| NPI | 1396142766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN HOLLISTER President 310-893-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2024-07-08 |