NPI | 1033470935 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD ANDREW NICHOLAS Optometrist 757-513-5408 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001947) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2012-09-19 |