| NPI | 1932396421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM POULIN President 805-964-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G059821) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2018-10-11 |