| NPI | 1730741299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THU KIM THI NGUYEN CEO 858-566-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |