Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 7064T | CA |
NPI | 1003931346 |
---|---|
Provider Name | Dr. Michael N Spitzer |
First Address | Irvine, CA 92612 |
Second Address | Irvine, CA 92612-1689 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 18/06/2009 |