NPI | 1710480934 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLENA HEBER Executive Director 559-222-4447 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT15154-TGL) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2018-03-14 |
Last Update Date | 2024-01-09 |