NPI | 1902261704 |
---|---|
Former Legal Business Name | JOHN C SPAETH, JR OD |
Entity Type | Organization |
Authorized Contact | JOHN CHARLES SPAETH Owner 949-493-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15602T) |
Enumeration Date | 2015-12-21 |
Last Update Date | 2016-02-04 |