NPI | 1538245162 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN M. OKAMOTO Optometrist/Owner 916-797-6747 |
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 | 2013-05-21 |