| NPI | 1952477416 |
|---|---|
| Doing Business As | EYE SPY VISION CARE OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | TANYA K MAHAPHON President 707-253-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA OPT 12138 TPA) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-01-25 |