| NPI | 1588091367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI GAGNON CEO 925-822-8776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |