NPI | 1861829749 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN THOMAS GREGORY O PT Ometrist 805-234-0528 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14783) |
Enumeration Date | 2013-10-08 |
Last Update Date | 2013-10-08 |