| NPI | 1659867901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEH BAGDASSAR Owner/ O PT Ometrist 818-243-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9792t) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |