| NPI | 1942469028 |
|---|---|
| Other Name | PALO CEDRO OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY C KOSSOL Owner 530-547-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 7249 TPL) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2009-01-07 |