| NPI | 1891873139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W LEE WAN President 805-983-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA LIAOOD OPT115TPA) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA G50251) |
| 207W00000X Ophthalmology (Licence: CA A92760) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-08-25 |