| NPI | 1902945751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN J DODD Owner 707-445-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CA 2714) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 2714) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |