| 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 |