| NPI | 1871761049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY W ADKINS Owner 916-967-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A75077) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA A705770) |
| 152W00000X Optometrist (Licence: CA OPT 11060 TPA) | |
| 152W00000X Optometrist (Licence: CA OPT 15375 TLG) | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2015-09-02 |