| NPI | 1861644106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUYEN TRINH President 267-335-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2010-09-29 |