NPI | 1396160479 |
---|---|
Doing Business As | FASHION VALLEY OPTOMETRY |
Entity Type | Organization |
Authorized Contact | JARED HAGAN Optometrist 858-876-7456 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT14385TLG) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2014-02-25 |