| NPI | 1124683313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE NATHAN BUTTERWORTH President 434-429-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-08-12 |