| NPI | 1962413740 |
|---|---|
| Doing Business As | HERITAGE EYE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KENNETH VICTOR MISELIS President 209-465-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G502810) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-06-17 |