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 |