| NPI | 1124183744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD UNTERBRINK President 540-586-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000365) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-07-17 |