| NPI | 1396904132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC NC 2082) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC SC 1488) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: SC SC 1488) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NC NC 2082) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NC NC 2082) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: SC SC 1488) | |
| 152WP0200X Optometrist, Pediatrics (Licence: NC NC 2082) | |
| 152WP0200X Optometrist, Pediatrics (Licence: SC SC 1488) | |
| 152WS0006X Optometrist, Sports Vision (Licence: NC NC 2082) | |
| 152WS0006X Optometrist, Sports Vision (Licence: SC SC 1488) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: NC NC 2082) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: SC SC 1488) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |