| NPI | 1912579780 |
|---|---|
| Former Legal Business Name | JEFFREY T KUBO OD |
| Entity Type | Organization |
| Authorized Contact | JEFFREY KUBO Owner 805-379-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |