| NPI | 1578620274 |
|---|---|
| Doing Business As | OPTOMETRIC CONCIERGE |
| Entity Type | Organization |
| Authorized Contact | SIENNE SANTAMARIA VAN ENK Owner Optometrist 310-325-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10560T) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-07-10 |