| NPI | 1609493824 |
|---|---|
| Doing Business As | MOUNTAIN EYES OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | NICOLE KOHAN Optometrist / Owner 714-328-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |