NPI | 1083151278 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN WILLIAM DORAN O PT Ometrist 703-729-8007 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002097) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2017-01-25 |