| NPI | 1528386208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERVYN P BLOOM Owner/Od 210-822-7271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: TX 2564TG) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2018-06-20 |