| NPI | 1710261821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE B DAVIS Chief Revenue Officer 916-990-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2025-10-22 |