NPI | 1578892667 |
---|---|
Doing Business As | BLACK MOUNTAIN OPTOMETRY |
Entity Type | Organization |
Authorized Contact | ROBERT A RING O.D 760-726-9383 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: 6781T) |
Enumeration Date | 2009-12-18 |
Last Update Date | 2020-04-19 |