| NPI | 1144982315 |
|---|---|
| Doing Business As | CENTREVILLE EYE CARE CENTER, OPTOMETRISTS |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BRADY MOORE Optometrist 703-830-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |