| NPI | 1992889240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W VASTINE Owner 925-947-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA G17966) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA G39000) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-04-10 |