NPI | 1790036101 |
---|---|
Doing Business As | SPECTRUM EYE PHYSICIANS |
Entity Type | Organization |
Authorized Contact | MICHAEL J. WILHELM Administrator/Controller 408-252-7310 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 97-675847 00004 GH) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A24242) |
Enumeration Date | 2012-09-25 |
Last Update Date | 2012-09-25 |