| NPI | 1780997551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BAKER Owner 210-602-7381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2015-10-13 |