| NPI | 1598304446 |
|---|---|
| Doing Business As | WALLIS FAMILY EYECARE OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | JENNY HUONG LE Optometrist 661-942-3849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2019-12-24 |