| NPI | 1073667648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELMAR E. NELSON Optician 301-495-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MD 15214838) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-06-03 |