| NPI | 1568666824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL S CRISMON Optometrist 562-864-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WX0102X Optometrist, Occupational Vision (Licence: CA 5839T) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-11-14 |