| NPI | 1932439304 |
|---|---|
| Doing Business As | WALNUT SQUARE OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | NICOLE JAE SIM President 510-548-3947 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11438TPA) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-29 |