| NPI | 1023239571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN TSAO O PT Ometrist 301-251-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1202X Technician/Technologist Optometric Technician |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-10-13 |