| NPI | 1679087290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MOZAYANI Owner 415-883-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9545T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13793T) |
| 152W00000X Optometrist (Licence: CA 15419) | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2023-11-09 |