| NPI | 1063760601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SOLOMON O PT Ometrist 804-378-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002154) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2022-07-21 |