| NPI | 1588790273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE WEISS O PT Ometrist 619-444-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: CA 11405T) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: CA 11405T) |
| 152WV0400X Optometrist Vision Therapy (Licence: CA 11405T) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |