NPI | 1437241833 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE DAVID STAMPER President 415-824-2374 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10862T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 5213T) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2010-08-11 |