| NPI | 1477005973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS BOUDAIE Optometrist 310-770-9645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-11-01 |