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 |