| NPI | 1578733424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVANI PATEL Owner 562-430-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA op10548) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA OP10548) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA OP10548) | |
| 152WP0200X Optometrist, Pediatrics (Licence: CA op10548) | |
| 152WS0006X Optometrist, Sports Vision (Licence: CA op10548) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: CA OP10548) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |