NPI | 1891046298 |
---|---|
Doing Business As | SPECTRUM EYE PHYSICIANS |
Entity Type | Organization |
Authorized Contact | MICHAEL J WILHELM Administrator/Controller 408-252-7310 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 97-675847 00003 GH) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT 10791 TPA) |
207W00000X Ophthalmology (Licence: CA A37122) | |
207W00000X Ophthalmology (Licence: CA A47984) | |
Enumeration Date | 2012-09-25 |
Last Update Date | 2012-09-25 |