NPI | 1770017642 |
---|---|
Former Legal Business Name | GOLETA VALLEY OPTOMETRY |
Entity Type | Organization |
Authorized Contact | CORY BREAM Majority Owner 805-451-8180 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 10171TLG) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2017-04-17 |
Last Update Date | 2019-05-14 |