| NPI | 1942791736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA PEARSON Od/Owner 726-444-4078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-10-28 |