NPI | 1700272895 |
---|---|
Entity Type | Organization |
Authorized Contact | IRENE LOU President, Optometrist 909-557-5074 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14734 TLG) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2015-04-15 |