| NPI | 1013926880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENCENT ANTHONY BERTOMEU President 703-719-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001167) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |