NPI | 1932549292 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI GAGNON CEO 925-822-8776 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2013-07-02 |
Last Update Date | 2013-09-16 |