| NPI | 1639338312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M FISHBERG O PT Ometrist/Owner 951-788-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: CA 6656T) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2015-03-11 |