NPI | 1700913977 |
---|---|
Doing Business As | BELLA VISTA OPTOMETRIC GROUP |
Entity Type | Organization |
Authorized Contact | GORDON L EPSTEIN Optometrist President 510-895-2116 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 6209TPA) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2018-06-21 |