| NPI | 1871791897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE B DAVIS Chief Revenue Officer 916-990-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2025-10-22 |