NPI | 1578814430 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADY P. REMBLESKI Owner 916-452-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11947T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 5898T) |
152W00000X Optometrist (Licence: CA 5510) | |
Enumeration Date | 2012-10-01 |
Last Update Date | 2012-12-14 |