| NPI | 1700121613 |
|---|---|
| Doing Business As | PHOENIX OPTOMETRY GROUP INC'S EYEPAD |
| Entity Type | Organization |
| Authorized Contact | RAMON VILLEGAS Owner/Doctor 562-567-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA opt 11011 tpa) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |