| NPI | 1669862124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KAMMER Dr. 888-322-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 11159TPA) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |