| NPI | 1942960661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN BEEM Practice Administrator 408-739-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-10-20 |