| NPI | 1134319593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HANSEN Optometrist/Owner 540-921-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001654) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618000990) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-04-30 |