| NPI | 1447789623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY THAO LE President/O PT Ometrist 408-259-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11478T) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |