| NPI | 1508056102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY SNEAG Owner 858-560-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA opt 8399) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CA opt 8399) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2019-11-01 |