| NPI | 1396952669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK EARL SLATER Optomertrist Owner 408-377-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT5101TPA) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-03-07 |