| NPI | 1730258476 |
|---|---|
| Doing Business As | GLENDALE OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | DUANE DE CROUPET Owner Doctor 818-243-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-03-19 |