| NPI | 1093898413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J MORRIS Owner 434-572-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0601000442) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 010146318) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-08-22 |