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 |