| NPI | 1184719353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC A ADAMS Vice President 757-461-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101032511) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001488) |
| 207W00000X Ophthalmology (Licence: VA 0101052280) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-05-15 |