NPI | 1851730451 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD W. WHEADON President 323-654-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 0005481TLG) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2017-12-04 |