| NPI | 1013943653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD FAROOQ ANWAR President 304-845-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 000604) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2012-04-10 |