| NPI | 1972111094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY FAYE BERRY Optometrist / Owner 951-500-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics |
| 152WS0006X Optometrist, Sports Vision | |
| 152WV0400X Optometrist, Vision Therapy | |
| 152WX0102X Optometrist, Occupational Vision | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-08-03 |