| NPI | 1790954824 |
|---|---|
| Doing Business As | SAN LUIS OBISPO OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | AMANDA MICHELLE PARREIRA Owner/Optometrist 805-543-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 11202T) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 11202T) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |