| NPI | 1851617666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX ARTHUR WERNER President 619-670-6296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9378) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 13478) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 13478) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: CA 13478) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2011-07-25 |