NPI | 1558768374 |
---|---|
Entity Type | Organization |
Authorized Contact | NGUYEN HUNG QUACH CEO / President 530-723-4005 |
Organization Subpart ? | No |
Primary Taxonomy | 152WS0006X Optometrist, Sports Vision (Licence: CA 13774) |
Enumeration Date | 2014-11-21 |
Last Update Date | 2016-02-02 |