| NPI | 1063928984 |
|---|---|
| Doing Business As | VIRGINIA EYE INSTITUTE - IRONBRIDGE |
| Entity Type | Organization |
| Authorized Contact | TINA R BYRD Credentialing Specialist 804-287-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |