| NPI | 1588790273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE WEISS Optometrist 619-444-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA 11405T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 11405T) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 11405T) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-09-11 |