| NPI | 1093869976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE MANSOUR Practice Manager 540-349-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 01011233782) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-03-07 |