| NPI | 1144289661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABU AHMED NASRULLAH Owner 703-723-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101232401) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2025-08-08 |