NPI | 1821373127 |
---|---|
Doing Business As | CONCOURSE OPTOMETRY |
Entity Type | Organization |
Authorized Contact | JULIE EDITH CHEN President 949-545-8431 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT1113T) |
Enumeration Date | 2011-10-18 |
Last Update Date | 2019-12-26 |