| NPI | 1396398442 |
|---|---|
| Other Name | BIG SKY EYES |
| Entity Type | Organization |
| Authorized Contact | ERICA PERLMAN - HENSEN Doctor 909-576-6398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WL0500X Optometrist, Low Vision Rehabilitation | |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| 152WX0102X Optometrist, Occupational Vision | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-10-11 |