| NPI | 1538245162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI BLISS Manager 916-838-5532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9831) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 9831) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 9831) | |
| 152WS0006X Optometrist, Sports Vision (Licence: CA 9831) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2025-08-21 |