| NPI | 1619019197 |
|---|---|
| Doing Business As | ALTA LOMA OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROBERT KELLER President 909-989-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT10085T) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-12-03 |