| NPI | 1891857744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND EUGENE CARLSON Owner/President 559-268-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9893t) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-10-22 |