| NPI | 1023127800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J MCKEE Md Owner 757-595-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA S1588534) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |