| 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 |