| NPI | 1417364589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN MATSUYAMA O PT Ometrist 949-476-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CA 7991T) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |