| NPI | 1730784802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN LAM Owner 832-518-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WP0200X Optometrist, Pediatrics | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |