| NPI | 1467409979 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KARAE LISLE Executive Director 650-858-0202 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 220000439) | 
| Enumeration Date | 2006-05-28 | 
| Last Update Date | 2018-12-18 |