| NPI | 1417224304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON H PARK Owner/O PT Ometrist 818-937-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12850T) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |