NPI | 1649694571 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN HYUN JOO KIM- LAUBACH Owner 925-463-7330 |
Organization Subpart ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA OPT9880) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA OPT9720) |
Enumeration Date | 2014-02-12 |
Last Update Date | 2014-02-12 |