NPI | 1487870721 |
---|---|
Other Name | SAN GABRIEL OPTICAL |
Entity Type | Organization |
Authorized Contact | STEPHEN D. SCHAEFER Owner 512-869-4600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX T1966) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-07-15 |