NPI | 1629803168 |
---|---|
Entity Type | Organization |
Authorized Contact | IDA SARAJIAN Owner 818-241-4921 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
Enumeration Date | 2024-09-04 |
Last Update Date | 2024-09-04 |