| NPI | 1588038913 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATTY SCHOONOVER Manager 559-432-2200 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT6949) | 
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT13190) | 
| Enumeration Date | 2015-11-23 | 
| Last Update Date | 2015-11-23 |