| NPI | 1457372658 |
|---|---|
| Doing Business As | EYE LIFE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | JEROME WH NISWONGER Owner/President 530-877-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-10-17 |