| NPI | 1063696938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM COLLEY SUTHERLAND Doctor 757-229-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000521) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2010-06-17 |