| NPI | 1609017854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE KIM Owner 747-261-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13140T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 156FX1201X Technician/Technologist, Optometric Assistant | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2020-01-15 |