| NPI | 1639380017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENELOPE S SUTER CEO 661-869-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 08128T) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CA 01828T) |
| 225400000X Rehabilitation Practitioner (Licence: CA 01828T) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2018-07-10 |