| NPI | 1912145764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN L DOWLING Practice Administrator 916-423-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2017-05-23 |