| NPI | 1871746982 |
|---|---|
| Doing Business As | GRAND VISION OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | MIKA E FU President 760-510-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT13304T) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2020-06-19 |