| 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 |