| 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 |