| NPI | 1720676349 |
|---|---|
| Doing Business As | EAGLE ROCK OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | SEPIDEH OMIDGHAEMI Owner/Optometrist 323-739-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WP0200X Optometrist, Pediatrics | |
| 152WS0006X Optometrist, Sports Vision | |
| 152WX0102X Optometrist, Occupational Vision | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |