| NPI | 1780731943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E CHASE O PT Ometrist 310-539-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA 7159) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-09-10 |