NPI | 1588194104 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL J DOUGHERTY Owner 805-987-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2017-06-15 |
Last Update Date | 2023-07-12 |