| NPI | 1598936288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J CREIGHTON Bookeeping Manager 925-754-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA SD0128120) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |