| NPI | 1952570962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZAD YAGHOUTI Medical Director 619-243-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G085172) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA G085172) |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: CA G085172) | |
| 152WV0400X Optometrist Vision Therapy (Licence: CA G081572) | |
| 156FC0800X Technician/Technologist Contact Lens (Licence: CA G085172) | |
| 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: CA G085172) | |
| 156FX1100X Technician/Technologist Ophthalmic (Licence: CA G085172) | |
| 156FX1101X Technician/Technologist Ophthalmic Assistant (Licence: CA G085172) | |
| 156FX1201X Technician/Technologist Optometric Assistant (Licence: CA G085172) | |
| 156FX1202X Technician/Technologist Optometric Technician (Licence: CA G085172) | |
| 156FX1800X Technician/Technologist Optician (Licence: CA G085172) | |
| Enumeration Date | 2008-02-23 |
| Last Update Date | 2008-02-23 |