NPI | 1639426273 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN G. OMOTO Co Owner 916-421-1278 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA CA OPT 6310 TPL) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2013-05-15 |