| NPI | 1134561533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKITTA MONCHELLE WOODS-DWELLE O PT Ometrist 804-364-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002123) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-11-12 |