| NPI | 1770669913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA TINDELL Billing 760-320-7051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-09-01 |