| NPI | 1932384740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WEINTRAUB Administrator 310-394-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 7085T) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 7085T) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |