| NPI | 1134506983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN SHAHMIRZADI Aboc/L Icensed Optician/Owner 434-382-8207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101003537) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 1101003537) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-05-04 |