| NPI | 1750641775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT AVERY Chief Executive Officer 805-963-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2022-07-21 |