NPI | 1518061159 |
---|---|
Doing Business As | WESTSIDE FAMILY VISION CENTER |
Entity Type | Organization |
Authorized Contact | JEFFREY MARTIN FANELLI Optometrist 408-264-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-09-12 |
Last Update Date | 2008-07-23 |