| NPI | 1134528722 | 
|---|---|
| Doing Business As | MYEYEDR | 
| Entity Type | Organization | 
| Authorized Contact | SUE HEALEY Secretary 703-847-8899  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002656)  | 
| Enumeration Date | 2014-08-19 | 
| Last Update Date | 2022-05-26 |