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 |