| NPI | 1205215001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M CLARK Manager/ Corporate Secretary 540-776-9722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 11011002026) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |