| NPI | 1932376399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ROBERT RICE President 562-947-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9344T) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: CA 9344T) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |