| NPI | 1639419013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY D. PARKHURST Owner 210-585-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2022-11-07 |