| NPI | 1053552661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD DANA JADOFSKY President 434-531-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101001285) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2013-02-12 |