| NPI | 1952881989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J DOUGHERTY Medical Director 805-987-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0009X Ophthalmology Glaucoma Specialist | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-07-12 |