| NPI | 1699218644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY TSANG President 949-870-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 190789T) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 10789T) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: CA 10789T) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: CA 10789T) | |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |