| NPI | 1962615195 |
|---|---|
| Doing Business As | SANTA ROSA LOW VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | NANCY E AMIR Owner 210-228-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: TX 05239TG) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-04-14 |