| NPI | 1538828751 |
|---|---|
| Doing Business As | CANYON OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | KIROLOS FAHMY Optometrist 805-407-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |