| NPI | 1487285656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIBHASH KUMAR Owner 915-315-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2025-07-14 |