NPI | 1619929890 |
---|---|
Former Legal Business Name | RENAISSANCE EYE, A PROFESSIONAL OPTOMETRY CORPORATION |
Entity Type | Organization |
Authorized Contact | PAUL RICHARD GOLLENDER Optometrist/Shareholder 916-786-8909 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 8998TG) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2007-09-26 |