| NPI | 1699078030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI GRADINE Chief Compliance Officer 530-924-0749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2022-09-02 |