| NPI | 1659326452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY SHEPPARD CAO/CFO 800-331-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2025-06-26 |