| NPI | 1578625307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A LEE O PT Ometrist 626-448-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2010-09-07 |