| NPI | 1437225661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYNA WONG Optometrist 415-664-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12166T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 10565T) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |