| NPI | 1760558498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L EDWARD ELLIOTT Doctor Of O PT Ometry 209-521-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA FNP88) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2013-02-01 |