| NPI | 1497866545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R TAXERA President 530-674-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12712T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 7072T) |
| 152W00000X Optometrist (Licence: CA 7125T) | |
| 152W00000X Optometrist (Licence: CA COR949) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-05-14 |