| NPI | 1669030961 |
|---|---|
| Doing Business As | CAPITOL OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | NICHOLE MOOS Optometrist 916-442-4927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |