NPI | 1104923242 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY SCHEIBE Optometrist/President 540-977-6022 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000916) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |