NPI | 1568863488 |
---|---|
Other Name | DR KEITH FARSON |
Entity Type | Organization |
Authorized Contact | KEITH A FARSON Owner 949-583-0422 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 6913T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 9317T) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2014-09-10 |