| NPI | 1760672315 |
|---|---|
| Doing Business As | MIRA MESA EYECARE |
| Entity Type | Organization |
| Authorized Contact | TONY DIEU PHAM President/CEO 858-535-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12348) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2009-05-12 |