NPI | 1770626202 |
---|---|
Doing Business As | EVERGREEN VALLEY OPTOMETRY |
Entity Type | Organization |
Authorized Contact | NORMA JEAN LEVINGSTON President 408-238-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 5558T) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-07-20 |