| NPI | 1548942923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALYNN EGEA Owner 623-980-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |