| NPI | 1184897993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY VERNELL FREEMAN Optometrist/Owner/President 804-732-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000457) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 0618000457) |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2012-12-14 |