| 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 (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 |