| NPI | 1962839670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE N NGO O PT Ometrist 408-887-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14223) |
| Additional Taxonomies | 156FX1201X Technician/Technologist Optometric Assistant |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |